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/~F~RPr <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />A~regate Iudustries -WCR, Inc. <br />~I-1977-436 <br />Brighton Mine <br />August 28, 2005 <br />/~~ <br /> <br />/~ AUG °~ U 2005 <br />/ v Division ai Irin,cr it; @ GaoloBY <br />$688.00 (Due on or before your anniversary date) <br />Adams <br />According 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 <br />, i„b!"-~ ~--•~^* ^F ^r disturbances. toaffected~and,-,- <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anneal rennM and annual re~nrt maw to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mike Refer <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. 100 <br />Golden, CO 80401 <br />Phone Number: CF.PR.telephone_number <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />G LZ~ <br />Signature of Corporate Officer, Owner, or Designee <br />~9-a~ <br />Date <br />