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RECEIVE® <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries -WCR, Inc. <br />M-1989-120 <br />Platte Valley Operation <br />July 16, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />DEC 2 6 2003 <br />Division at Minerals and Geolo®y <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 accomp[ished'to date alyd`duriitgZtre`pri=c~dingyear; 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 re~prt and annual rennrt m ~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: -Ae4riek~Vlzard- nQYh t ~k ~ LtrO h v <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cote Blvd Ste 100 <br />Golden, CO 80401-3220 <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 <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~~._. <br />Signature of Corporate O fi r, caner, or Designee <br />Date <br />M:~PERMITNIASTERDOCUMENTSVv1-AF-0I <br />