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<br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries -WCR, Inc. <br />M-1992.069 <br />83rd Joint Venture <br />January 26, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />FEB 2.8 2003 <br />Division of Minerals aad Geology <br />According [o 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 />reclamatiun accomplished-to date and"during the pieceaing 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 any. <br />Please attach ym~r revised written annnal report and annual rennrt man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suff~cefor a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name: <br />Address: <br />Phone Number: <br />- - --Fax Number: <br />Patrick Ward <br />Aggregate Industries -WCR, Inc. <br />3605 S. Te]]er St. <br />Lakewood, CO 80235 <br />(303) 985-1070 <br />/ `70 rJ L'oIP Baa.le vary Saife /Op <br />Galdeti CU d'DS~DI <br />T <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~~,~~ <br />J`~V <br />Signature o^ Cprp~ ~[e QO%, Owner, or Designee <br />Date vL-I h~ I <br />M:IPERMrrN1ASTERD000MENTSVN-AF-01 <br />