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'f <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST - 4 <br />Aggregate Industries -WCR, Inc. G`- `~~ <br />~G` V~ ~;ti <br />M-2000-082 ~ ~P~ \ ~ ~^ar '~~^~ <br />E 8th Street Operation M~Oer'`s <br />May 3, 2002 o`.i~sso~°~ <br />$688.00 (Due on or before your anniversary date) <br />Weld <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 />_ _ chall_submit_the~nnual-fee~a-report-and--map showing-the-extern-atecurrent disturbances to aftected land <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during [he 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 vour revised written annual report and annual report map to this form. Please Wore 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: Patrick Ward <br />Permittee Name: Aggregate Industries -WCR, Inc. <br />Address: 3605 S. Teller St. <br /> Lakewood, CO 80235 <br />Phone Number: (303) 985-1070 <br />Faz Number: C303~ 7~6 - ra ~ 9 <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 />Signature of Co orat Officer or Owner <br />~~~~°Z <br />Date <br />M:SPERMITN~tASTERDOCUMENTSU7-AF-01 <br />