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~////~^//~/A / / <br />/' /~4~~ <br />ANNUAL FEE and REPORT REOiIEST <br />PERMTI'TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME; <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries -WCR, Inc. <br />~M-1973-021 <br />Morrison Quarry <br />December 31, 2007 <br />~~~~~~~ <br />~PR 3 0 ~~QB <br />ivision of Reclamation, <br />Mining and Safety <br />$5791.00 {Due an or before your anniversary date) <br />Jefferson <br />According to C.R.S. 34-32.5116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a .report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamarion that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attacL your revised written annual report and annual report map to oils form. The Annual <br />Report & Fee requirement is not met ugtil we have received the following components: fee, report. and <br />associated man, If no new disturbances or reclamation Lave occurred during the previous veer and no <br />new changes to the previous y_ear's man are necessary. then no new map is required. arovided that the <br />Operator shall state this in the Annual Report. Please note tliat an adequately labeled map that clearly <br />delineates acrd inclr~des 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: Mike Refer <br />Matthew Hall, P. E. <br />Permittee Name: Aggregate Industries -WCR, Inc. Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. I00 1707 Cole Blvd, Ste 100 <br />Golden, CO 80401 Golden, CO 80401 <br />Phone Number: (303} 985-1070 (303} 716-5363 <br />Fax Number: (303} 716-5299 <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 />S' afore of Corpora fOcer or Owner <br />~~~~~~~ <br />Date <br />