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K~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNLIAL FEE DUE: <br />COUNTY: <br />Aggregate Industries -WCR, Inc. <br />M-2000-087 <br />Milliken Resource <br />January 12, 2004 <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />MAR 2 5 1004 <br />Division of Minerals and Ceologr <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 operator <br />-shall-salxmt-the-ammal~fee-s-report-and-marsho affeeted-lanir--°-- <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 ynnr revised written anneal re,Pnrt and anneal rennrt main to this form- please note that an <br />adequately labeled map that clearly delineates and inc[ur[es the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: ha`-~-':r~eo::i,~~ <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd. Ste 100 <br />Golden, CO 80401 <br />Phone Number: (303) 985-1070 <br />Fax Number: (303) 716-5299 <br />/~lic~,ae/ C. /Ze~`er <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed, <br />/~ <br />Signature of Corporate Officer, woe , r Designee <br />~z <br />Date <br />M:~PERMFrNrASTERDOCUMENTS4M-AF-OI <br />