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NOV-14-2006 11:21AM FROIh-DIV RECLA-IATION MINING & SAFETY 30S5S28102 <br />U )F>zEE and RTPORT DE3T <br />PaRMrrrl;E NAME: ~ grcgate industries - weR, l[ue. <br />PERMIT' NO : 1977-141 <br />OPERATION NAME: <br />AI3NIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />T-562 P.003/006 F-233 <br />,~--r~---r- r-"~ <br />q , <br />CJ 1 al .'f'J7 <br />Dis uai. n`R _~n. <br />Lyons Query <br />Decepaber29,E866es 2of~(a . <br />$688.00 (Due on or before your anniversary date} <br />BouideC <br />According to C.R.S. 34-325-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing [he extent of currant disturbances to affected land, <br />reclamation accorupliahed to date and during the preceding Year, new disturbances that ere anticipated to occur <br />doting the ttpeotnittg year, reclemadon that will be performed dwirtg rite coming year, the dates for the beginning <br />of salve operations, and.the date active operations cawed for the year, if any, <br />Please attach wur revised writt~ annual reran amt annual report maa to this fora, Please Wore that an <br />adequately labeled map that clearly delineates and includes the above elements may su,~icefor a written report <br />Division records indicate the following permittea corttea information. Please verify and make any necessary <br />changes; <br />Penaittee Contract: h4ii~sfar-- <br />Pemrittee Name: Aggregate Induttries - WCR, htc. <br />Address: 1707 Cole Blvd., Ste.100 <br /> <br />~ Golden, CO 80401 <br />I <br />i <br />Phone~Ntttnber: CF.PR.telepha~ number Cg7O~ ~~3- D~JS` <br />Fax Ni tuber. Cg~O~ ~S 7C~ -, „Z d'~~ <br />Tf your have additional comments and/or information that shcuid be provided to the Division, please provide it <br />belowior attach it to this form along with your written report and trap. Annual Report instructions are enclosed. <br />Signature of Corporate Offtcor, OWaeq ar gree <br />Date <br />