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RECEd~/Ep <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Aggregate Industries -WCR, Inc. <br />M-1999-021 <br />Stegner Farms <br />March 6, 2002 <br />APR 12 2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Larimer <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 [he extent of current disturbances to affected land, _ <br />- reclamation accomplished to date and' during`tthe preceding 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 your revised written annual report and annual report mau to this form. Please note that an <br />adequately labeled map'that clearly delineates artd includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />permittee Contact: Patrick Ward <br />permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 3605 S. Teller S[. <br />Lakewood, CO 80235 <br />Phone Number: (303) 985-1070 <br />Fax Number: <br />If you have additional comments andlor information that should be provided to the Division, please provide it <br />below attach it to this form along with your written report and map. <br />V "' <br />Signature Corp rate Officer or Owner <br />c.a- ~ ~ <br />Date <br />Annual Report instructions are enclosed. <br />M V'ERMITIMASTERDOCUMENTSN~7-AF-OI <br />