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<br /> <br />~~C;t~t•~~~ <br />MAR 15 1004 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries -WCR, Inc. <br />M-1997-014 <br />Deer Creek Quarry <br />September 12, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Jefferson <br />Division of Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />~hall_submit_the annual_fee,_a_report_and_map_showing_the-extent_of_current_disturbancesso_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 xnnr revised written anm~al re~nrt and anneal re~nM ma=n, 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 permiitee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Patrick Ward <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd Ste 100 <br />Golden, CO 80401-3220 <br />Phone Number: (303) 985-1070 <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 />~~~~ <br />~ignature of Corpor Officer, Owner, or Designee <br />3/22/oy <br />Da e <br />M iPERMITNIASTERDOCUMENTSVv1-AF-01 <br />