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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Aggregate Industries - WCR, Inc. <br />MAR 0 ? 2009 <br />PERMIT NO.: M-1973-021 <br /> of Reclamation, <br />i <br />OPERATION NAME: Morrison Quarry <br />Y M <br />Mining and Safety <br />Mining <br />ANNIVERSARY DATE: December 31, 2008 <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 Your revised written annual report and annual report 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 />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous Year's mawfkre necessary, then no new map 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: A4a#hmv- I*+ <br />J&iM Ae l e. 1?e1d h <br />Permittee Name: Aggregate Industries - WCR, Inc. <br />Address: <br />1707 Cole Blvd., Ste. 100 <br />Phone Number: <br />Fax Number: <br />Golden, CO 80401 <br />(303) 716-5299 <br />(.303 ) 9gs /o -yo <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />be w or attach it s form along with your written report and map. Annual Report instructions are enclosed. <br />u? <br />Signature of Z% rate O icer, Own q/, or Designee <br />Date