REP05531

• Permit No: M1981088
• IBM Index Class Name: Report
• Doc Date: 11/21/2002
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Lafarge West, Inc.
M-1981-088
McCoy Aggregates
November 15, 2002
$688.00 (Due on or before your anniversary date)
Routt
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RECE6VE®
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Division of Minerals and Gaolag f
According to C.R.S. 34-32.5-1 ] 6 or C.R.S. 34-32-] ] 6, each year, on the anniversary date of [he 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 distur antes t~icipated 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 reuort man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Gary J. Tuttle
Permittee Name: Lafarge West, Inc.
Address: 1590 W. 12th Ave.
Denver, CO 80204
Phone Number: [phone]
Fax Number: ~ ~ ~J3~
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.
uate
M:~PERM ITMASTERDOC UMEMSNI-AF-01