2003-10-10_REPORT - M2000002

• Permit No: M2000002
• IBM Index Class Name: Report
• Doc Date: 10/10/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Lafarge West, Inc.
M-2000-002
Tanabe Pit
September 22, 2003
OCT 10 200
Division of Minerals ~ GBOlogy
$688.00 (Due on or before your anniversary date)
Adams
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished-fo date'and"daring the preceding year, new disturbances-thaYare-anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anneal re~nrt and anneal report m an to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Petmittee Contact: Gary J. Tuttle
Petmittee Name: Lafarge West, Inc.
Address: 1590 W. 12th Ave.
Phone Number:
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
Date
Denver, CO 80204
[phone]
M:~PERM ITVNA$TERDOCUMENTSV.1-Ar-01