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it2~1~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />fth~ <br />t/ ANNUAL FEE and REPORT REQUEST <br />t/ Aggregate Industries -WCR, Inc. <br />I~M-1989-029 <br />R~~~,v~® <br />~ MAR 1~ p006 <br />Division of Minerals antl Geology <br />Longmont Distel Operations <br />December 7, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Weld <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />____land,_reclamation_accomplished_to_date_and_during-the-preceding-year, new-disturbances-that-aze anticipated-to - <br />occur during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: 1\4iicEfiefer <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. 100 <br />Golden, CO 80401 <br />Phone Number: (303}5-IAA (990 3S3 o2oor <br />Fax Number: C g ~1J7 27~'- ~ ~S-~o <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 />t ~ /}_ _ . <br />r t%rd2{~E~ <br />Signatureof./ ^°-~~ ~eS~ne¢ <br />.3- ~~ ~ f~ <br />Date <br />GOAT ~~ N. ~avrs i/ <br />