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JiNt k <br />RECEIVED i2 ~~! <br />DEC ~ 62005 <br />Oirisiw of Minerals aoi 6eoloyr <br />PERMTI'TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries - WCR, Inc. <br />M-1994-093 <br />Dahlia North Resources Pit <br />December 31, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Adams <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 />---reclamafion accomplished-to-date and-during the-preceding year,-new disturbances-that-are-anticipated-to-occur---- <br />during the upcoming year, reclamation that will be performed during 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 ynnr revised written annnal rennrt and annnal 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: MiktrRetir-' <br />Permittee Name: Aggregate Industries - WCR, Inc. <br />Address: 1707 Cole Blvd., Ste. 100 <br />Golden, CO 80401 <br />Phone Number: (303j-985=1'09f)- <br />Fax Number: <br /> <br />(~7 ~~) .35-3 - ~,7oa.t-" <br />190) 3'73 _ ~8,~6 <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 />l ~~• /~lGl1~ <br />Signature of Corporate Officer, Owner, or Designee _. <br />- Q~.~ <br />Date <br />