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• iiiunuiimum • <br />999 <br />ANNUAL REPORT <br />PERMITT)=E NAME: Hollenbeck, Inc. <br />PERMIT NO.: M1985023 <br />OPERATION NAME: Hollenbeck Pit <br />ANNIVERSARY DATE: May 6,1999 <br />ANNUAL FEE DUI ON ANNIVERSARY DATE <br />COUNTY: Gunnison <br />RECEIVED <br />FE B Q 9 2000 <br />$225.01) <br />Division of Minerals & Geology <br />According to C.R.S. '34-32-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations cl ased for the <br />year, if any. <br />Please attach your revised annual report map and written report to this annual e ort. Please <br />note that an adequately labeled map that clearly delineates and includes the above e meats stay <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address. and phone number in the space <br />provided: <br />Contact Name:.4"„X. <br />Address: e <br />rr.L .- <br />Pf U <br />Company: <br />Phone No.: ('712) BLS <br />Fax No.: <br />lzrp <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />71 Q <br />Signature of Corporate Officer, or Owner Date <br />Exhibit <br />INSTRUCTIONS ON BACK <br />B