2002-12-09_REPORT - M1994093

• Permit No: M1994093
• IBM Index Class Name: Report
• Doc Date: 12/9/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REpUEST
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Aggregate Industries - W CR, Inc.
M-1994-093
Dahlia North Resources Pit
December 31, 2002
DEC 0 9 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Adams
According [o 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
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
-- -- reclamation accomplished to date and"during the preceding year,-new IsturUances-that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach Your revised written annual report and annual report maa to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Patrick Ward
Permittee Name: Aggregate Industries - WCR, Inc.
Address: 3605 S. Teller St.
Phone Number:
-- -Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attanch it to this form along with our written report and map. Annual Report instructions are enclosed.
l
Signature of Corporate Officer, Owner, or Designee
ao rvov o a
Date
Lakewood, CO 80235
[phone]
M:IPERMITUTASTERD000MEMSUI-AF01