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SEP*09-2008 10:44AM FROM-DIV RECLAMATION MINING & SAFETY +3038328106 T-424 P.002/002 F-512 <br />AIVNi3ArFEE and PORT RE-QUEST <br />PERMITTEE NAME: Ae egate Industries - WCR, Inc. = <br />PERMIT NO.: WX-1r997-014 ! lEr 2 0 r <br />OPERATION NAME: Deer Creek Quarry Di•risi0r1 ;,...,,,.,,-Gtio:1, <br />ANNIVERSARY DATE: September 12, 2008 ?9 Kr:ing <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <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 our revised written annual report and annual re ort ma 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 durin the revious year and no new chap es to <br />the previous year's may are necessary, then no new map is renuired, 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 elemewi may suffice for a written reporr. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Connie N. Davis <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 />Si ature of Corporate O cer, Owner, ar esignee <br />9 510.0 <br />Date