2009-10-20_REPORT - M2000113

• Permit No: M2000113
• IBM Index Class Name: REPORT
• Doc Date: 10/20/2009
• Doc Name: Annual Fee/Report/Map
• From: Lafarge
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: GRM
• Media Type: D
• Archive: No

2
3.
4.
5.
6.
7.
8.
9.
10.
11.
Notice Of Intent to Continue Mining Operations
112C Construction Material Annual Report
Permittee Name: Lafarge West, Inc
Permit No: M-2000-113
Operation Name: Mamm Creek Sand & Gravel
Anniversary Date: October 29,2009
Total: $791.00
a. Permitted acreage: b. County where mine is located:
Has this mine been granted TEMPORARY CESSATION STATUS?
Does this mine operate MORE or LESS than 180 days per year?
Does this mine have have a phased reclamation plan?
Total acres affected during the report year:
Total acres reclaimed for the report year :
Total number of acres in topsoil replaced:
a. Average thickness of topsoil replaced
Total number of acres seeded:
a. List species seeded and seeding rate for report year on back
For non-phased operations provide dates extraction ceased:
a. Date reclamation began:
The type and approximate quanity of fertilizers, organic material
or soil conditioners used for the report uear:
Estimate total acres to be affected in the next report year:
COMMENTS: Site under reclamation

Garfield
No
+/-5
+/-5
+/-5
Appr. 6 inches
+/-3
N/A
N/A
N/A
+/-7
* Please show the location of the acreage for items 4-6 on your map**
Indicate the phases of the reclamation which have been completed, correlated with your timetable. For phased
operations show dates exctraction ceased and dates reclamation began.
Signature
Current contact name, mailin Caddre and phone number below:
Contact Name: Robert Ray
Company: Lafarge
Phone: [phone]
Fax: (303) 657 - 4037
Email: robert.ray(@lafarge-na.com
Address: 10170 Church Ranch Way, Suite 200
Westminster, CO 80021
Federal Tax ID No. or Social Security No: 25-1531295