2017-06-27_REPORT - M1973021

• Permit No: M1973021
• IBM Index Class Name: Report
• Doc Date: 6/27/2017
• Doc Name: Activity Report
• From: Aggregate Industies - WCR, Inc.
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

Page 5 of$
Division records indicate the following pertnitteellandowner contact information (blank fields indicate that we do not have
information on record). If this information is blank or not current, please type or print current contact information:
Permittee Contact:
Michael C. Refer
Permittee Company:
Aggregate Industries - WCR,
Inc.
Address:
1687 Cole Blvd., Ste, 300
Golden, CO 80401
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Permitting Contact:
Patrick Ward
M.d.lC. R.4a
Company:
Aggregate Industries - WCR,
Inc.
A691.aa1. meusmes WCR. I.c
Address:
1707 Cole Blvd., Ste. 100
Golden, CO 80401-3220
1687corn mvn sun.300
ca CO aea01
Phone Number:
[phone]
Fax Number.
13631)16.52'95
Email Address:
Inspection Contact:
Patrick Ward
MicMcl C Ra.,
Company:
Aggregate Industries -WCR,
Inc.
Address:
1707 Cole Blvd., Ste. 100
Golden. CO 80401-3220
1687 ca. arm.. S.M. 30u
canto co Scam
Phone Number.
[phone]
Fax Number
uu31 naazac
Email Address:
1, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
beingonducted in accord nce with the Division approved mining and reclamation plans.
// � , 1 26 20/7
Signature of Permittee. oroorate Officer, Owner, or Documented Desienec Date