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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Aggregate Industries -WCR, Inc. ~ ; - ~ - ~ ; r-, ,-~ <br />PERMIT NO.: M-1989-029 <br />Fi;7 ~ ~ %il%1 <br />OPERATION NAME: Longmont Distel Operations <br />C" ' , <br />ANNIVERSARY DATE: December 7, 200b ~ ~~:~ ~: ~~ ;,;~ .:, 'n' <br />'d <br />ANNUAL FEE DUE: $$688.00 (Due oa or before your anniversary date) <br />COUNTY: Weld <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-showingthe-extent of.current dishirbances to affected <br />land, reclamation accomplished to 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 report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated mau. If no new disturbances or reclamation have occurred during the previous year and no <br />new chanties to the previous year's man are necessary. then no new map is required, provided that the <br />Oserator shall state this in the Annual Report. Please node that an adequately labeled map that clearly <br />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: Connie N, Davis <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. 100 <br />Golden, CO 80401 <br />Phone Number: (970) 353-2005 <br />Fax Number: (470) 378-6856 <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 />Signa~ oral O rcer of~~s' <br />~ -/5''-' a '7 <br />Date <br />