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<br />ANNUAL REPORT <br />PERMITTEE NAME: Mobile Premix Co~rete, Inc. <br />PERMfI' NO.: M-74-004 <br />~,~'e <br />~~ <br />OPERATION NAME: Specification Aggregates Quarry ~~CEIVED <br />ANNIVERSARY DATE: February 15, 1999 MAY 0 41999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 J a pineralSYsGeo'a4Y <br />COUNTY: Jefferson <br />,~ <br />,% <br />~9 <br />Please attach to this annual report your revised annual report map and written report. Note that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />eoncernin¢ mining disturbance and reclamation update. ALso. if all of the reportable conditions listed <br />in [he Annual Report instructions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />UPDATED MAP ATTACHED <br />^ CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />ContaetName: F.rir Rerkentina <br />Address:: 1590 W. 12th Ave, <br />nenver CO 80204-3410 <br />Company: Western Mohile / Lafarge <br />Phone No.: ( 303 ) 657-4330 <br />Fax No.: ( 303 ) 655-4339 <br />Comments:: (~e!i~ Sew ~YIY~ItG~ <br />Signature of Corporate Officer, or Owner <br />t <br />Date <br />h1:~DN R A1LN7ASTER DU1 ~ A F-01 <br />