2006-04-27_REPORT - M1982147

• Permit No: M1982147
• IBM Index Class Name: Report
• Doc Date: 4/27/2006
• Doc Name: Annual Fee/Report/Map
• From: Lafarge West Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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fEE NAME:
NO.:
ION NAME:
RSARY DATE:
FEE DUE:
// ANNiiAi. FF,F. and RF.P(1RT RF.nIIF.ST
(/ . Lafarge West, Iac.
,// M-1982-147
G/ f]irisiao of Minerals and OeoloBY
Nyholt Pit (aka Mann)
April 20, 2006
$688.00 (Due on or before your anniversary date)
Adams
RECEl~9'EU
~ APR 2 7 2~6
Accord~ng 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
_ _ shalLsubmit_the_annual _fee,_.a_report_and. map_showing._the_extent_of_current_disturbances_to.-affected-land,T--- -
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be perfonned during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
ich veer revised written anneal report and anneal red nrt maTtn this form. Please note that an
labeled map that clearly delineates and includes the above elements may since for a written report.
records indicate the following permittee contact information. Please verify and make any necessary
Contact: Eric Reckentine
Name: Lafarge West, Inc.
10170 Church Ranch Way, Suite 200
Westminster, CO 80021
1iL~ . ~li(1~ l/
Phone Number: [phone] ~(~?j- ~~, - ~ (~
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Fax Number: [phone] ~?j- (p~, - 4 (,~j~
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
of Corporate Officer, Owner, or Designee
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