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<br />ANNiiAl. FF;F, and RF,P(lRT RF.OiIF,ST <br />RECEI!/ED <br />N `~ <br />PERMITTEE NAME: Lafarge West, Inc. ~~~ 2 ~ 2~O4 <br />PERMIT NO.: M-2001-090 <br />Division of MineraYr izi Grx~'&gt~ <br />OPERATION NAME: River Valley Resource <br />ANNIVERSARY DATE: July 29, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Routt <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 your revised written annual report and annual rennrt mgp to 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 />Permittee Contact: Eric Reckentine <br />Permittee Name: Lafarge West, Inc. <br />Address: 1400 W. 64th Ave. <br />Phone Number: <br />Fax Number: <br />Denver, CO 80221 <br />(303) 657-4330 <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 />~~~ C®iuc ~ 17~c.k a n ~., o ~-~ <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />