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~ III IIIIIIIIIIIIIIII w <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />Permittee Name: Holnam, Inc. C/0 Dundee Cement <br />Permit No: M-77-346 <br />Operation Name: Boettcher Gyp Quarry <br />Anniversary Date: 10/10/92 <br />Total: E490.00 (Due on your Anniversary Date) <br />Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />RECEIVE <br />ocr o s ~ss2 <br />DIVISIUrv OF <br />NtNERALS & GEOLOGY <br />~p~~s~5 <br />lE5 NO <br />MIORE LESS <br />2a. financial Warranty: E 38 X000 2b. Permitted acreage: 1'5=5 <br />3. Do you have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* _ -0- <br />5. Total acres reclaimed for the report year:* _ -0 - <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: _ <br />b. Graded: 6 Average topsoil thickness <br />c. Seeded: /, replaced: _ <br />List species seeded & seeding <br />rate for report year on back n.a, <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* ~ioi E;p1iC2}Jle <br />8. Estimated total acres to be affected in the next report year:• _ -0- <br />9. COMMENTS: prccrrtion ;s from oreviouslS' disturbed areas, ~o mep is <br />included since it is uncl:anF;ed from i~revious annual repot. <br />* Please show the Location of the acreage for items 4 - 6 on your map`*. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. <br />** NOIE: 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, then a new map is unnecessary. However, you must state this fact above. <br />Signature: ~)'~ ~ (~.~~Q~_ Date: 10-1-g2 <br />Please type or print current contact name, mailing address, and phone number belo <br />Contact Name: Fa ~l E. Thomsen, :,E. / Phone: (303 > L182-1+065 <br />Company: HOLIiESi IA'C <br />Address: P. 0. Pox 2227 <br />`~ <br />Fort Collins. CO eo522 <br />~~ <br />Federal Tax ID No. or Social Security No.: <br />