2015-01-07_REPORT - M1989029

• Permit No: M1989029
• IBM Index Class Name: REPORT
• Doc Date: 1/7/2015
• Doc Name: Annual Fee, Report, and Map
• From: Aggregate Industries - WCR, Inc.
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

Phone Number:
(970) 396 -5252
Fax Number:
(303) 716 -5340
(303) 716 -5295
Email Address:
CF.PR.email
Connie.davis @aggregate- us.com
I, the undersigned, hereby state that, to the best of my knowledge, the information provided in this report is true
and accurate, and that site operations are being conducted in accordance with the Division approved mining and
reclamation plans.
Signature of Corporate Officer, Owner, or Documented Designee Date