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<br />+~F .~- Ric" <br />ANNUAL FEE and REPORT RE UEST ~ r~ ~ ~ ~ ~~, <br />PERMITTEE NAME: Aggregate Industries -WCR, Inc. QEC ~, ®2~1~~ <br />PERMIT NO.: M-1989-029 ~~ Division ©; ;t~;.;;; .,~_ ,., /~p~' //y~Iyj <br />p~ y~ n ~L.F~ypy'V <br />Me.lil lg GnUI '~ ~~~jy'-V/ <br />OPERATION NAME: Longmont Distel Operations <br />ANNIVERSARY DATE: December 7, 2007 <br />ANNUAL FEE DUE: $$791.00 (Due on 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 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 du"ring the coming year, -tlle 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. The Annual Report <br />& Fee requirement is not met until we have received the following components• fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map ~s required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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 />~~~ <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: (970) 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 />/~, <br />Signature of Corporate Officer, Owner, or Designee <br />~- ~ ~-~ <br />Date <br />