REP51574

• Permit No: M1999021
• IBM Index Class Name: Report
• Doc Date: 4/12/2004
• Doc Name: 2004 Annual Report
• From: Aggregate Industries - WCR Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FF.E DUE:
COUNTY:
Aggregate industries -WCR, Inc.
M-1999-021
Stegner Farms
March 6, 2004
RECE~~~~
ltr~w,,__,, ~ 1 p x174
-^~on at'winarals end Ca51asY
$688.00 (Due on or before your anniversary date)
Lartmer
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-i 16, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and reap showing the extent 4f current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occtu
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 yeaz, if any.
p~ecn gftaeh ygtr revlsetj wr tten annuat re,Rnrt and anm.~l rr+nnrt man tn~hia form- please Hate that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following petmittee contact Information. Please verify and make any necessary
changes:
Permittee Contact: Petnelc~er~---
Pertnittee Name: Aggregate Industries -WCR, Inc.
Address: 1707 Cole Blvd Ste 100
Golden, C0 80401.3220
Phone Number: [phone]
Fax Number:
v ~T-T
rte" ~L`""~' 1

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, Acutual Report instructions are enclosed.
r/
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tgnattme of/Corporate Officer, O er, br ~e 'grtee
Date
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