2003-04-01_REPORT - M1983067

• Permit No: M1983067
• IBM Index Class Name: Report
• Doc Date: 4/1/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

v
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Lafarge West, Inc.
M-1983-067
Stagecoach Pit
April 20, 2003
$688.00 (Due on or before your anniversary date)
Adams
RECEIVED
APR 0 12003
Division of Minerals and Geeiosy
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 year, if any.
Please attach your revised written annual renort and annual rennrt m ~n to this fnrm_ pease note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Gary J. Tuttle
Permittee Name: Lafarge West, Inc.
Address: 1590 W. 12th Ave.
Denver, CO 80204
Phone Number: [phone]
Fax Number:
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
~%~
Date
,Owner, or Designee
M1PERM ITUTASTERDOCUM ENTSVN-AF-01