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III IIIIIIIIIIIIIIII <br />999 <br />ANNUAL FEE and REPORT REQUEST NOu 2 7 'C;'I <br />PERMITTEE NAME: TXI Operations LP dba Western Aggregates Division of Minerals and Gealogq <br />PERMIT Np.: M-1988-108 <br />OPERATION NAME: Western Aggregates <br />ANNIVERSARY DATE: November 29, 2001 <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished [o date and during the preceding year, new disturbances that are anticipated to <br />occur during; the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual resort maa to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a ti~riaern <br />report. <br />Division records indicate the Following permittee contact information. Please verify and make any necessary <br />changes: <br />Permit[eeContact: Kin ~~t'glZ.`'1 f El~6fL <br />Permittee Name: TXI Operations LP dba Western Aggregates <br />Address: Hwy. 93 <br />Boulder, CO 80303 <br />Phone Nunntler: (303) 499-1010 <br />Fax Number: 30~- 4ni4' S4 ~ <br />If you have additional comments and/or information [ha[ should be provided to the Division, please provide it <br />below or atach it [o [his form along with your written report and map. Annual Report instructions are <br />enclosed. <br />t ~- <br />~~ <br />Signature of Co orate Officer or Owner <br />`~/ Z i~a/ <br />Date <br />MiPERMITVvIAST=RDOCUMENTS/A7-AF-02 DOC <br />