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~~~ <br />PERMITI'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNP/ERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />ANNUAL FEE and REPORT REQUEST <br />Lafarge West, Inc. <br />M-1979-097 <br />East Rigden Pit <br />August 15, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Larimer <br />RECEIVED <br />SEP 0 6 2002 <br />Division of Minerals and 6eelogy <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 show.ing_the_extent _of_current- disturbances to affected land,- <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 report and annual resort man to this 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 [he following permittee contact information. Please verify and make any necessazy <br />changes: <br />Permittee Contact: EeieReekentine <br />Permittee Name: Lafarge West, Inc. <br />Address: t59~W-Y2T1 Ave. <br />Phone Number: (30-3}~FrS7-339 <br />Fax Number. (3~.~5-433... <br />m ~-~H ~ ~~cuEr-r <br />~d'oo ,v. r~rFr i+rr..~ 2 n <br />t'T LOU,I NS. W ~5 Z/ <br />~0-~7-3e00 <br />-3 10d <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 />Signature of Corporate Officer or Owner <br />Date <br />M:~PERMITIMASTERDOC UM ENTSU4-AF-01 <br />