2004-05-04_REPORT - M1999021

• Permit No: M1999021
• IBM Index Class Name: Report
• Doc Date: 5/4/2004
• Doc Name: Annual Fee/Report/Map
• From: Aggregate Industries - WCR Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMTTTEE NAME:
PERMTT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Aggregate Industries - WCR, Inc. RECi~~VED
M-1999-021
Stegner Farms ~~ ~'4
March 6, 2004 fliritlon of Minerals end Geology
$688.00 (Due on or before your anniversary date)
Latimer

According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and snap showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding yeaz, new disturbances that aze 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 ynnr revised written anneal re~nrf and anneal re nn rt man to this form. please 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: ^-'-.-c~z<~-
Permittee Name: Aggregate Industries - WCR, Inc.
Address: 1707 Cole Blvd Ste 100
Goiden, CO 80401-3220
Phone Number: [phone]
Fax Number:
I Yl_YYI I Q ~+ . ~~rl J .
`~ t • J
('j03) "714- 5~?O
If you have additional comments and/or information that should be provided tp the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corporate Officer, O net, br De~}'gnee
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ANNiTAi. FF.F, and RF.PnRT RFni1FST /
Date