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~~ <br />~ANNiTAi. FF,F. and RF,PtiRT RF.ni1F,ST <br />PERMTiTEENAME: ~LafargeWest,Inc. RECEIVED <br />PERMIT NO.: y/ M-1985-218 ~ UN 3 0 2006 <br />OPERATION NAME: Rich Pit <br />9irision of Minerals and Geolosy <br />ANNNERSARY DATE: June 15, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Pueblo <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 the extent of cun•ent 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 />Pl ae ce attach your revised written annual re,Qnrt and annual rr~nrt man to this 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 />Permittee Contact: Mark A. Vigil <br />Permittee Name: Lafarge West, Inc. <br />Address: 10170 Church Ranch Way, Suite 200 <br />Westminster, CO 80021 <br />Phone Number: (303) 657-4123 <br /> <br />Fax Number: (303) 657-4339 ~J" ~~- ~~~~ <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 />t._At~~ I~n~~Q3C~i~Q-I-~eJ <br />Signature of Corporate Officer, Owner, or Designee <br />~lag Imo,, <br />Date <br />