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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Lafarge West, Inc. <br />PERMIT NO.: M-1974-015 <br />OPERATION NAME: Lyons Pit <br />ANNIVERSARY DATE: February 15, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: 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 for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual reuort man to this form The Annual Report <br />& Fee requirement is not met until we have received the following components: fee. report, and associated <br />man. If no new disturbances or reclamation have occurred during the previous vear and no new changes to <br />the previous year's man are necessary, then no new man is 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 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: Robert O. Ray <br />Permittee Name: Lafarge West, Inc. <br />Address: 10170 Church Ranch Way, Ste. 200 <br />Westminster, CO 80021 <br />Phone Number: (303) 657-4579 <br />Fax Number: (303) 657-4037 <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 Offic weer, or Designee <br />~ FEB 2 5 2008 <br />Date <br />Division or Keciamation, <br />Mining and Safety <br />