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cb~ <br />/pNNTTAT. FFF and RRPORT RF.nTTRST <br />PERMITTEE NAME: / Aggregate Industries -WCR, Inc. <br />PERMIT NO.: ~/' M-1999-021 <br />OPERATION NAME: Stegner Farms <br />ANNNERSARY DATE: March 6, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Latimer <br /> <br />/ "MAR 0 ~ 7006 <br />`'~sion otMmerals and Geology <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation-accomp}ished-to-date-and-during-the-precedmg 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 atty. <br />Please attach your revered written annual re,Pnrt and annual reTnrt m ~n 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: 1yQike-Refer LOH a i ~~ ~ D~tV~._r <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. 100 <br />Golden, CO 80401 <br />Phone Number: (393j-~-5-I070 ~//~~/D~ 3~•3 `o~G~s-- <br />Fax Number: (S70 ~ 3 X78- /0 8S~ <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />L ~i <br />Signature of Corporate Officer, Owner, or Designee <br />'~'~ <br /> <br />Date <br />