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<br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />1. a. Permitted acreage: 9 b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MORE <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE <br />3. Does this mine have a phased reclamation plan? YES <br />4. Total acres affected during ttie report year:* __ <br />5. Total acres reclaimed for the report year:* __ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: 0 d. Topsoil replaced: __ <br />b. Graded: 0 Average topsoil thickness <br />c. Seeded: 0 replaced: - <br />List species seeded & seeding <br />rate for report year on back <br />~II II~~~I~I~~I~~'I~ <br />sss <br />PFGEIVED <br />LARIMER <br />NO <br />LESS <br />LESS <br />NO <br />0 <br />0 <br />0 <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' 0 <br />8. Estimated total acres to be affected in the next report year:` ~' <br />9. COMMENTS: No map is submitted since previously submitted <br />map is still valid. <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Holnam Inc C/0 Dundee Cement* ~ c~' (,JC~( ~ ~ ~~ <br />M-77-345 <br />Boettcher SST Quarry 4cu~A~r <br />1 0/ 1 0/ 9 6 NIVIQIAI~ A~ pJ~10~PVP ~' <br />$225.00 <Due on your Anniversary Date) <br /> <br />' Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, corrElated with <br />your Ttimetable. <br />** NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, thew nnnew map is unnecessary. However, this must be stated above. <br />Signature: OQ.~.~l~ ~~,.,~ Date: J~ ~ ~~ <br />Please type or print current contact name, mailing address, antl phone number below: <br />Contact Name <br />Company: <br />Address: <br />Paul E. Thomsen <br />Holnam Inc. <br />P.O.BOX 2227 <br />Fort Collins. CO 80522 <br />Phone: (970 > 482-4065 <br />Faderal Tax ID No. or Social Security No.: <br />