2018-01-11_REPORT - M1977141

• Permit No: M1977141
• IBM Index Class Name: REPORT
• Doc Date: 1/11/2018
• Doc Name: Annual Fee/Report/Map
• From: Aggregate Industries
• To: DRMS
• Annual Report Year: 2017
• Email Name: AME
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following perntittee/landowner contact information(blank fields indicate that %ve do not have
information on record). if this infonnation is blank or not current. please type or print current contact information:
Permittee Contact: Connic N. Davis
Joel Bolduc
Permittee Company: Aggregate Industries- \VCR.
Inc.
Address: 1687 Cole Blvd.. Ste. 300
Golden. CO 80401
Phone Number: [phone]
[phone]
Fax Number: [phone]
[phone]
Email Address: Con nie.davis�c'aggregate-us.com
[e-mail]
Permitting Contact: Damian Murphy
Joel Bolduc
Company: Aggregate Industries- WCR,
Inc.
Address: 1707 Cole Blvd.. Ste. 100 1687 Cole Blvd., Suite 300
Golden.CO 80401-3220 Golden, CO 80401
Phone Number: [phone]
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Inspection Contact: Pat Ward
Joel Bolduc
Company: Aggregate Industries- WCR.
Inc.
Address: 1707 Cole Blvd., Ste. 100 1687 Cole Blvd., Suite 300
Golden, CO 80401-3220 Golden, CO 80401
Phone Number: [phone]
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
I,the undersigned, hereby state that 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 Permittee,Corporate Officer,Owner.or Documented Designee Date