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~~S~P~ <br />ANNT1Ai. FF.F. and REPORT RF.OTIF.ST <br />PERMITTEE NAME: ~TXI Operations LP dba Western Aggregates <br />PERMIT NO.: ~ -1988-108 <br />OPERATION NAME: Western Aggregates <br />ANNNERSARY DATE: November 29, 2005 <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <br />~~W <br />~o: ~ ~ ~ <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />-----lam, rec amatron accomplished to date and3tinng the preceding year, new disturbances [fiat are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual rennrt and annnal repnH main, to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: ~/~ <br />PermitteeContact:~y-Fertfer ~/L/~~ /'~'/OGfC_Tc>12~ <br />Permittee Name: TXI Operations LP dba Western Aggregates <br />Address: 11728 Hwy 93 <br />Boulder, CO 80303 <br />Phone Number: (303) 499-1010 <br />Fax Number: (303) 494-5464 <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 <br />enclosed. <br />~ l <br />Signature of orpora Officer, Owner, or Designee <br />//~~5~. <br />Date <br />MiPERMI7\MASTERDOCUMENTS/M-AF-02.DOC <br />