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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Holnam Inc - Ft Collins Plant <br />PERMIT NO.: M-77-347 <br />OPERATION NAME: Slab Canyon Quarry <br />ANNNERSARY DATE: October 10, 1999 <br />--ct^ElViri" <br />OCT i'? 1999 <br />pivision of Minerals & Geob9Y <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Larimer <br />~. <br />~~~~i <br />According to C.R.S. 34-32-116(3)(a), each yeaz, 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 year, the dates for the beginning of active operations, acid 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. Please note that arr adequately labeler/ nurp that clenr[v rlelineare.r and <br />inclar(es dre above e/ements nmy sufjlc•e foa- a written report. <br />Please type or print [he current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: MICHAEL B. TOELLE <br />Address: P • O. BOX 154 8 <br />Company: HOLNAM INC. <br />Phone No.: (970 ) 482-c1065 <br />LaPorte CO 80535 <br />Fax No.: ( 970 ~ 482--1872 <br />If there aze additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to [his report form along with your rnap and/or <br />written report. <br />rgnature of Corpor to Officer, or Owner Date <br />rii iiiiiiiiiiiiiiii <br />999 <br />INSTRUCTIONS ON BACK <br />