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ruin <br />vANNiiAi. FF.F, and REPORT RF. ST <br />PERMITTEENAME: ~/Lafarge West, Inc. riC~'l~dVED <br />PERMIT NO.: / M-2001-090 '~ SUN 3 01006 <br />OPERATION NAME: River Valley Resource <br />Dlylsion of Minerals and GaolaOY <br />ANNNERSARY DATE: July 29, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Routt <br />According to C.R.S._34-32.5-116_or C.R.S..3432-116, each year,_on the.anniversary_date of_the permit, an operator~ <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <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 yonr revised written annnal reTnN and anm~al re~rt mgp to this form- The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: SCE. r~nnrf, and acsnctated <br />map (All 3 are required regardless of the level of disturbance or absence of disturbance daring the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice far a written report. <br />Division records indicate the following pertnittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mark A. Vigil <br />Permittee Name: Lafarge West, Inc. <br />Address: 10170 Church Ranch Way, Suite 200 <br />- Westmiiist'er,~C0~80021 <br />Phone Number: <br />Fax Number: <br />(303)657-4123 <br />(303) 657-4037 <br />3~3-- ~S17- 4~ ~ <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 />Signature of Corporate Officer, Owner, or Designee <br />(nl~ ~C1r, <br />Date <br />