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o,t= <br />V <br />PERMITTEE NAME: <br />ANNUAL FEE and PORT REQUEST <br />Aggregate Industries - WCR, Inc. <br />(/?I-1999-021 <br />6Yi? <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Stegner Farms <br />March 6, 2010 <br />We"D <br />//MAR 18 2010 <br />Division of Reclamation, <br />4V Mining and Sa%V <br />$$791.00 (Due on or before your anniversary date) <br />Larimer <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 />-- <br />-h during te upcoming year, re' re-Mat-will-be-pe?-f ?. -du. ing--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 map 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 map are 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: Connie N. Davis <br />Permittee Name: Aggregate Industries - WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. 100 <br />Golden, CO 80401- - - - <br />Phone Number: (920)-3-? 2005 702 3&6 - 6 -S-c,74 <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 />Signature of Corporate Officer, Owner, or Designee <br />3-'/ 7-io <br />Date