2006-05-05_REPORT - M2000034

• Permit No: M2000034
• IBM Index Class Name: Report
• Doc Date: 5/5/2006
• Doc Name: Annual Fee/Report/Map
• From: Lafarge West Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

.::
,, . .
-~/~
~`
,,;f,
~~.; -
~C~ '.
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
!j ANNTTAT, FF,F, and RF.PnRT RF.QTTF.ST
~ Lafarge West, Inc.
M-2000-034
Loveland Pit
Apri130, 2006
RECEI!!E®
''MAY 0 5 1006
Division ~f Minerals and Geology
$688.00 (Due on or before your anniversary date)
Lorimer
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding yeaz, new disturbances that aze anticipated to occur
during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annnal report and annual ren~rt man 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: Eric Reckentine
Permittee Name: Lafarge West, loc.
Address: 10170 Church Ranch Way, Suite 200
Westminster, CO 80021
Phone Number: [phone]
Fax Number: [phone]
r~CtR~ UfQI~
~- ~D51 -L{Q~~
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.
~ IZC~'~ n.n~i ~ c ~-~_
Signature of Corp//orate Officer, Owner, or Designee
Date "