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m~ <br />a/u/ <br />/ ANNIiAi. FF.F, and REPORT RF.OiiF.ST <br />PERMITTEE NAME: ~ Lafarge West, ine. RECEf VED <br />PERMIT NO.: ~-1990-144 / 'JUN 3 0 2006 <br />OPERATION NAME: Boone-Fillmore Pit / Division of Minerals and Geology <br />ANNIVERSARY DATE: June 15, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUN"I'Y: Pueblo <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 submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished-to date and during the preceding year, new disturbances that are artieipated 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 yghr revised written anneal rennrt and anm~al r~nnN maro this form. please note that an <br />adequately labeled map that clearly delineates and includes 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: Mark A. Vigil <br />Permittee Name: Lafarge West, Inc. <br />Address: 10170 Church Ranch Way, Suite 200 <br />Westminster, CO 80021 <br />Phone Number: (303).657-4123 <br />Fax Number: (303) 657-4037 <br /> <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 />~ ~P.e ~ n n ~'n 0 ~~ <br />Signature of Corporate Officer, Owner, or Designee <br />.~lc~n o . a9 ~~~ <br />Date <br />