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<br />~'~~ <br /> <br />PERMITTEE NAME: t/ <br />PERMIT NO.: / <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE-DUE: <br />COUNTY: <br />Industries - WCR, Inc. <br />RECEIVED <br />~~~--- <br />/ JUL ~ 0 2006 <br />'Division of Minerals and Geelo~y <br />Quarry <br />29, 2005 <br />(Due on or before your anniversary date) <br />According to C.R.S. 34-32.5-116 or C.R.S. <br />shall submit the annual fee, a report an< <br />reclamation accomplished to date and duri <br />during the upcoming year, reclamation that <br />of active operations, and the date active ope <br />adequately labeled map that clearly <br />1-32-116, each year, on the anniversary date ofthe permit, an operator <br />map showing the extent of current disturbances to affected ]and, <br />the preceding year, new disturbances that are anticipated to occur <br />rill be performed during the coming year, the dates for the beginning <br />ceased for the year, if any. <br />Please note that an <br />and 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: -Refer i ~/7 /j /e /U. ~GtY%-f' ~~ <br />Permittee Name: Aggregate Industries -IWCR, Inc. <br />Address: 1707 Cole Blvd., Ste.100 <br />Golden, CO 80401 <br />Phone Number: CF.PR.telephone_number ~%0 <br />Fax Number: ~ ~c/ ~ 07 <br />3 ~.3 -" ~oOc3` <br />~~~- ~ ~ <br />L` 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 instrucfions are enclosed. <br />l <br />~ _ <br />~_ /1 /1/ <br />Signature of Corporate Officer, Owner, or <br /> <br />Date <br />