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RECEIVED <br />AUG 15 2003 <br />Division ~f Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Lafarge West, Inc. <br />M-1979-097 <br />East Rigden Pit <br />August 15, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Larimer <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 tfie extent of cuirent disturbances to affected land; <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 YnLr revised written annul report and annul report m ~n to thin 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 />PermitteeContact: ~f~eul/1 ~{rIL r\-~C-k~V1~7h'~ <br />Permittee Name: Lafarge West, Inc. <br />Address: ~~ /J ~~ ~Qi <br />~~~~ ~P~wU~ CD ~D~ ~l <br />---Plione_I~Twuber: - kX/ve~~ -. o>~~-~~n/ ~ ~~~rl - - - <br />Fax Number: (970) 407-3900 ~~ ~` ~~ / - ~~~ <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 />Signatur f Corporate Officer, Owner, or Designee <br />g~~~ 10~ <br />Date <br />M:~PERM ITMASTERDOCUM ENTS~M-AF-0I <br />