REP37817

• Permit No: M1992069
• IBM Index Class Name: Report
• Doc Date: 5/10/2002
• Doc Name: 2002 Annual Report
• From: Aggregate Industries - WCR Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

DECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Aggregate Industries -WCR, Inc,
M-1992-069
83rd Joint Venture
January 26, 2002
MAY 102002
Division of Minerals anti Geology
$688.00 (Due on or before your anniversary date)
Weld
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 ]6, 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 [hat are anticipated-to occnr-
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 reuort and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and Includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Patrick Wazd
Permittee Name: Aggregate Industries -WCR, Inc.
Address: 3605 S. Teller St.
Lakewood, CO 80235
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 o Corp rate Officer or Owner
a2-
Date
M:U'ERMITIMASTERD000M ENTSUI-AF-O7