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<br />v <br />RECEIVED " <br />DEC 161005 <br />Oirisien of Mioerab and Geolo~t <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJER5ARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries -WCR, Inc. <br />M-1977-141 <br />Lyons Quarry <br />December 29, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Boulder <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 far the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please Mach veer revised written anneal re~nrt and anneal re~nrf main to this form. Please note [hat 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: ~ka~Refer <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd., Ste.100 <br />Golden, CO 80401 <br />CAhr~ /e y~ ~GCy~s <br />Phone Number: CF,PR.telephone_number (~~0) .3,5`,3-~OOcf`- <br />FaxNumber: ~y~U~ 37~' ~ ~S"_(o <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, Owner, or Designee <br />l~ -/s -as- <br />Date <br />