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, . =~. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Aggregate Industries -WCR, Inc. <br />M-1994-027 <br />Longmont Operation <br />iiiiiiiiiiiiiiiiiii <br />RECEIVED <br />JAN 0 8 20Qt~ <br />December 31, 2001 Division of Minerals and Gealopy <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />r, <br />~l <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 I6, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current 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 vour revised written annual resort and annual report maa to this form. Please note drat art <br />adequntely 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 :md 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 />Fax Number: <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 />~ ~/l~~-r~.c,~2. <br />Signature of Corporate Officer or Owner <br />~ L~L~IoI <br />Date <br />M IPERMrM7A5TERD000MEtTI'SU1-AF OI <br />