2008-10-10_REPORT - M1977344

• Permit No: M1977344
• IBM Index Class Name: REPORT
• Doc Date: 10/10/2008
• Doc Name: Annual Fee/Report/Map
• From: Holcim ‎(US)‎ Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: BMK
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REOUEST
PERMITTEE NAME: Holcim (US) Inc. OCT 1 ; 2009
PERMIT NO.: M-1977-344
OPERATION NAME: Portland Limestone Quarry
ANNIVERSARY DATE: October 10, 2008
?AL FEE DUE: $$791.00 (Due on or before your anniversary date)
COUNTY: Fremont
:cording to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
all submit the annual fee, a report and map showing the extent of current disturbances to affected land,
;lamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
ring the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
active operations, and the date active operations ceased for the year, if any.
ease attach vour revised written annual report and annual report map to this form. The Annual Report
Fee requirement is not met until we have received the following components: fee, report, and associated
ip. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
elements may suffice for a written report.
records indicate the following permittee contact information. Please verify and make any necessary
Contact: Mike Toelle
I
I
Permittee Name:
i
Address:
Number:
Number:
Holcim (US) Inc.
3500 Highway 120
Florence, CO 81226
[phone] (78) 78y - /209
[phone] r??gl 79q - I ZO
you have additional comments and/or information that should be provided to the Division, please provide it
low or attach it to this form along with your written report and map. Annual Report, instructions are enclosed.
Owner, or Designee