2007-09-17_REPORT - M1977208

• Permit No: M1977208
• IBM Index Class Name: Report
• Doc Date: 9/17/2007
• Doc Name: Annual Fee/Report/Map
• From: CEMEX, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

SEP-D6-2007 10:25AM FROM-DIV RECLAMATION MINING & SAFETY 3038328102 T-I03 P.003/010 P-251
ANNUAL FEE an E ~ UES
PERMITTEE NAME: CEMEx, Iuc. / RECEIVED
PERMIT NO.: M-1977-208 / SEP 17 2007
OPERATION NAME: Lyons Quarry ~i Divlsbn of ReGametlon,
ANNIVERSARY DATE: September 8, 2007 / Mining and Safety
ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date)
COUNTY: Boulder
According to C.RS. 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 exten[ of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the besinning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report mac to tbis form. The Apaual Report
& Fee requirement is not met until we hnvc received the following componcnts:_fca,_report, and associated
map. If no new disturbances or reclamation Itavc occurred durirte the previous year and no new Chan eg s to
the previous year's map arc necessary, then no new map is required, provided that the Operator shall state
this in the Annual Reyo_rt. Please note that an adequately labeled map that dearly delrnea/es and includes the
above elements may suffice for a written report.
Division records indicate the following pemtittec contact information. Please verify and make any necessary
changes:
Permittee Contact: Patrick Fischer
Permittee Name: CEMEX, Inc.
Address: P.O. Box 529
Phone Ntunber:
Fax Number:
Lyons, CO 80540
[phone]
[phone]
If you have additional comments and/or information that should be provided to ehc Division, please provide it
belowtor~ahaph it to this form along with your written report and map. Annual Report instructions are enclosed.
of Corporate Officer, O~gier, or Designee
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Date