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~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Aggregate Industries - WCR. Inc. <br />M-1994-027 <br />Longmont Operation <br />December 31, 2003 <br />Division of Minerals and Geolog <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />Y>!~`r~~ F! ~k.~ <br />MAR 15 2UOk <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 />~ltall-sulimit-t)ie~annuaY-fei~a rap~rt-and-reap-shawitrg-tlst~e'~terrt-af~urt~ent-~isuiib`airf~e~~~'~d~; <br />reclamation 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 ymrr revised written anneal rennrt and annual rennrl m ~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: P~- <br />Permittee Name: Aggregate Industries - WCR, Inc. <br />/~?t eft ct_e / Ct . /~e1~er <br />Address: 1707 Cole Blvd Ste 100 <br />Golden, CO 80401-3220 <br />_ Phone Number: (303) 985-1070 <br />Fax Number: <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 />Si ature of Corpor~atelLOfficer Owne , Designee <br />~~it ~-/' T <br />Date <br />M:~PERMn1A1ASTERDOCUMENTSVd-AF-01 ~{y~~ ///f~ <br />%' -~ Lf <br />