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<br />RECEIVE® <br />SEP 1 22003 <br />Division ~f Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries -WCR, Inc. <br />M-1977-436 <br />Brighton Mine <br />August 28, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Adams <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 />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 your revised written annual rennrt and annual rennrt maTtn thic form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Patrick Ward <br />Permittee Name; Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd Ste 100 <br /> Golden, CO 80401-3220 <br />_PhoneNumber:` (303.)985_10.7.0 _ _ ____ <br />Fax Number: <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />Signature of Corpora e Officer, Owner, or Designee <br />~~z~a3 <br />Date <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed. <br />M1PERM ITMASTERDOCUM ENTSVv1-AF-01 <br />