2002-10-15_REPORT - M1983013

• Permit No: M1983013
• IBM Index Class Name: Report
• Doc Date: 10/15/2002
• Doc Name: 2002 Annual Report
• From: Lafarge West Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Lafarge West, Inc.
M-1983-013
Latham -Burkett Pit
November 15, 2002

RECEIVED
OCT 15 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Mesa
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
-, shalLsubmit_the annual-.fee, areport-and map-showing-[he extent of-current-disturbancc~ io affected-land, ---
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
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 vour revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates atld includes the above elements may suffice for a written report.
Division records indicate the following petmi[tee contact information. Please verify and make any necessary
changes:
Pet7nittee Contact: Gary J. Tuttle
Permittee Name: Lafarge West, Inc.
Address: 1590 W. 12th Ave.
Phone Number:
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 of Co ora fficer, Owner or esignee
fo~ll~p v
Date
Denver, CO 80204
[phone]
M1PERM ITVvIASTERDOC U MENTSNI-AF-01