2003-01-28_REPORT - M1999021

• Permit No: M1999021
• IBM Index Class Name: Report
• Doc Date: 1/28/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
JAN_2.'8 2pp3
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Aggregate Industries -WCR, Inc.
M-1999-021
Stegner Farms
March 6, 2003
$688.00 (Due on or before your anniversary date)
Larimer
Division of Minerals anA 9eob~r
shall submit the annual fee, a report and map showing [he 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 ymm revised written anneal re~nrt and anneal report main 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: Patrick Ward
Permittee Name: Aggregate Industries -WCR, Inc.
Address: 3605 S. Teller St.
Lakewood, CO 80235
Phone Number: [phone]
Fax Number:
~~
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.
"i 1
Signature of Corp°~ate Officer, Owner, or Designee
t l ~-~ ~ ~3
Date
M:IPERM ITMASTERDOCUMENTSV.I-AF-01