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RECEIVED ` <br />PERMITI'EE NAME: <br />PERMTI' NO.: <br />OPERATION NAME; <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REpUEST <br />Aggregate Industries -WCR, Inc. <br />M-1999-098 <br />Riverview Resources <br />July 13, 2002 <br />OCT 0 ~ 2002 <br />Division of Minerals and Geology <br />$685.00 (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 />-' "-shah submit the annual-fee, a-report -and map' showing the extent of cun-ent disturbances to-affected land,- - <br />rectamation 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 anneal report and annual resort maa to this form. Please note that an <br />adeguately 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 />Pernuttee Name: Aggregate Industries -WCR, Inc. <br />Address: 3605 S. Teller St. <br />Lakewood, CO 80235 <br />Phone Number: (303) 985-1070 <br />Fax Number: <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- t/ V <br />t ~--~' ` <br />Signature of Corporate Officer or Owner <br />1©~oZlo?. <br />Dale <br />M:~PERMITMASTERDOCUMENTSUr-AF-OI <br />