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� III I IIIIIIII����III <br /> sss <br /> ANNUAL FEE and REPORT REOUEST REGF—r to <br /> PERMITTEE NAME: Aggregate Industries- WCR,Inc. SEP 2 C 2P11T <br /> PERMIT NO.: M-1977-436 9+vision of"mnar.'c "A cep <br /> OPERATION NAME: Brighton Mine <br /> ANNNERSARY DATE: August 28, 2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Adams <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 the extent of current disturbances to affected land, <br /> reclamation accomplished to date and during the 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 map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may since 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 St. <br /> Lakewood,CO 80235 <br /> Phone Number: (303) 985-1070 <br /> Fax Number: <br /> If 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 instructions are enclosed. <br /> Signature of Corporate Officer or Owner <br /> \I �Z + � <br /> Date <br /> M:IPERNIFIWASTER DOC UMENTSW-AF-01 <br />