2003-01-28_REPORT - M1985112

• Permit No: M1985112
• 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

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Aggregate Industries -WCR, Inc.
M-1985-112
Loloff Mine
February 4, 2003
$688.00 (Due on or before your anniversary date)
Weld
RECEIVED
JAN 2.;8 ?Q03
Division of Minerals and Geabgy
According-to-C.R.S._39-32.5_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 distuiliances`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 ym~r revised written anneal report and anneal rennrt m =n to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice 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.
~~
Signature of Corporate Officer, Owner, or Designee
Date
M:~PERM ITMASTERDOCUMENTSVN-AF-01