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<br />ANNUAL REPORT <br />PERMITTEE NAME: Holnam Inc C/O Dundee Cement <br />PERMIT NO.: M-77-344 <br />OPERATION NAME: Portland Limestone <br />ANNNERSARY DATE: October 10, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Fremont <br />~ III IIIIIIIIIIIIIIII <br />999 <br />~ECE~VED <br />,~u~~ p 6 1999 <br />..t e1dt~~ ~`~ <br />According t~ C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year. new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming yeaz, the dates for [he beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Pleuse note tluu un odeyuutel} Inbeler/ map Iknt c/eurh delinr~ues unr/ <br />includes the nbnve eleineius mny .suffice fbr a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: /.PA-~,. ~un.~ Company: f~~~oir,. -Zne. <br />Address: 3s D0 /~i€l+wav /2o Phone No.: (7/9 ) ~'8's'- /LD 9 <br />F/or~,.u, [O 3/zZ to Fax No.: ( 7/`/ ) 7~'/- 3~17n <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or <br />/ n~ <br />Date <br />INSTRUCTIONS ON BACK <br />