Laserfiche WebLink
PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />September 27, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />Adams <br />RH--CE?WrE 10 <br />OCT 15 2000 <br />e4 <br />dil" <br />Division of reclamation, <br />Mining and Safet j <br />Ito 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 your revised written annual report and annual report may to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, reaort, and associated <br />may. If no new disturbances or reclamation have occurred during the greviou$ year and no new changes to <br />the greyious year's map 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 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 Davis <br />Permittee Name: Aggregate Industries - WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. 100 <br />Golden, CO, 80401 <br />Phone Number: <br />Fax Number: <br />(970) 353-2005 <br />(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 />Signature of Corporate Officer, Owner, or Designee <br />Ap <br />AN AL rFXR a nd REPORT REQUEST <br />4-7 <br />) <br />te Industries - WCR, Inc. <br />=031 <br />Hazeltine Mine <br />Date