2009-04-15_REPORT - M1999021

• Permit No: M1999021
• IBM Index Class Name: REPORT
• Doc Date: 4/15/2009
• Doc Name: Annual Fee/Report/Map
• From: Aggregate Industries-WCR, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: MAC
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
I toV
A7-
EE and REPORT REQUEST
F 11
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ggregate Industries - WCR, Inc.
y4.1999-021
Stegner Farms
March 6, 2009
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APR 15 2009
Division or Keclamation,
7t Mir4rig and Safety
$$791.00 (Due on or before your anniversary date)
Larimer
- According to-C.R:S: 34-32-:5-11-6-or C.R:S.-34-32416, each year-,_on_the_anniversary_date_ofthe permit, an_operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation- accomplished to date and -during the preceding year, new disturbances that are anticipated- to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year's map are necessary, then no new map is required provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Connie N. Davis
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Permittee Name: Aggregate Industries - WCR, Inc.
Address: 1707 Cole Blvd., Ste. 100
Golden, CO 80401
Phone Number:
Fax Number:
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
;?• egA664
Signature of Corporate Officer, Owner, or Desi nee
Date