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iii iiiiiiiiniiiiii ~ <br />Notice of Intent to Continue Mining Operations RI. CEIVED <br />112 Annual Report <br />Permittee Name: Holnam Inc C/0 Dundee Cement* ~T <br />Permit No: M-77-346 <br />Operation Name: Boettcher Gyp Quarry p"''~'onoflvinerdl5s(jeD10 <br />Anniversary Date; 10/10/96 9 <br />Total: 5550.00 (Due on your Anniversary Date) ~Vr <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />a. Permitted acreage: 105_5 b. County where mine is located <br />Has this mine been granted TEMPORARY CESSATION STATUS? YE'i <br />Does this mine operate MORE or LESS than 180 days per year? M02E <br />Does this mine have a phased reclamation plan? YES <br />LARIMER <br />NO <br />LESS <br />K~ <br />0 <br />a. Backfilled: 0 d. Topsoil replaced: _ 0 <br />b. Graded: 6 Average topsoil thickness <br />c. Seeded: 6 replaced: 0 <br />List species seeded & seeding <br />rate for report year on back <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />Total acres in various stages of reclamation:* <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* 0 <br />Estimated total acres to be affected in the next report year:* <br />COMMENTS: No map is submitted because previous submittals are <br />still valid. <br />* Please show the location of the acreage for items 4 - 6 on your ma.p**. <br />Indicate the phases of the reclamation which have been completed, corrElated with <br />your timetable. <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, thep,a new map is unnecessary. However, you must state this; fact above. <br />Signature: ~ ~~ Date: ~~ O iYCy <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Ndme: Paul E. Thomsen Phone: (970 ) 4E'2-4065 <br />Company <br />Address <br />Holnam Inc. <br />P.O.BOX 2227 <br />Fort Collins, CO 80522 <br />Federal Tax ID No. or Social Security No.: <br />