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RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries - WCR Inc. <br />M-2000-082 <br />E 8th Street Operation <br />AP' 1 S ^"03 <br />~iuision of Minerals and Geolosy <br />May 3, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Weld <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 />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 ymrr revised written annual rennrt and anneal rennrt main 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 />Petmittee Contact: Patrick Wazd <br />Permittee Name: Aggregate Industries - WCR, Inc. <br />Address: 1707 Cole Blvd Ste 100 <br />Golden, CO 80401-3220 <br />_ __ Phone.Number: __.(303)-985..1070_-~__ ___^ ~ -_ ____ _ _ _ _ ~.z_ <br />Fax Number: (303) 716-5299 <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 />xV <br />Signature of Corpor <br />4 /14 ~o <br />Date <br />Owner, of <br />v. P . <br />M:IPERMITMASTERDOCUMENTS~hl-AF-01 <br />