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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-1977-141 <br />Lyons Quarry <br />December 29, 2003 <br />RECEIVED <br />DEC 2 9 2003 <br />Dirisian of Minerals & GeoloBY <br />$688.00 (Due ou or before your anniversary date) <br />Boulder <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 />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation [hat 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 xpur revised written annual report and anneal refit m ~n to this form. please note that an <br />adequately labeled map that clearly de/ineates 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: EaL3dCard,! /R/Kt~rv~- r r~`'r°~ <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 1707 Cole Blvd Ste 100 <br />Golden, CO 80401-3220 <br />(30~ 716-5327 <br />Fax Number: <br />I£ 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 />a'~~ ' l <br />Signature of Corporate Officer, Own r esignee <br />Date <br />(30C <br />M:\PERM ITVNASTERDOCUM ENTSVN-AF-01 <br />