2005-04-28_REPORT - M2000034

• Permit No: M2000034
• IBM Index Class Name: Report
• Doc Date: 4/28/2005
• Doc Name: Annual Fee/Report/Map
• From: Lafarge West Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~,o.Ci
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~v1H
Lafarge West, Inc.
M-2000-034
Loveland Pit
April 30, 2005
$688.00 (Due on or before your anniversary date)
Larimer
A~~ ~ u L~ J

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
shall submit the annual fee, a report and map showing the extent of current disturbances to_ affected_land, _
-- - --reclamation-accomplished-Co date and during ffie piecediiig 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 v^n~~r revised written anneal report and anneal report mT 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: Eric Reckentine
Permittee Name: Lafarge West, Inc.
Address: 10170 Church Ranch Way, Suite 200
Westminster, CO 80021
Phone Number: [phone]
Fax Number: [phone]
.303- bbl- 403
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.
,~)~C~ o_rt~U
Signature of Corporate Officer, Owner, or Designee
ly,
Date