REP31576

• Permit No: M1980131
• IBM Index Class Name: Report
• Doc Date: 12/1/2006
• Doc Name: Inadequate Ltr.
• From: DRMS
• To: Lafarge West, Inc.
• Media Type: D
• Archive: No

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PE1tMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Lafarge West, Inc.
M-1980.131
Bunn Ranch Pit
November 15, 2006
$$688.00 (Due on or before your anniversary date)
Moffat
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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the yeaz, if any.
Pease attach your revised written aunual report and annual report man to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
Operator shall state this in the Annual Resort. Please note that an adequately labeled map that clearly
delineates and includes the above elements may su~f'rce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Mark A. Vigil
Permittee Name: Lafage West, Inc,
Address: 10170 Church Ranch Way, Suite 200
Westminster, CO 80021
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer or Owner
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Date