2005-01-26_REPORT - M2000087

• Permit No: M2000087
• IBM Index Class Name: Report
• Doc Date: 1/26/2005
• Doc Name: Annual Fee/Report/Map
• From: Aggregate Industries - WCR Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Aggregate Industries -WCR, Inc.
M-2000-087
Milliken Resource
January 12,2005
$688.00 (Due on or before your anniversary date)
Weld
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DivisianofC:i~r.:~.l' ..-,:Icg•)
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 I
shall submit the annual fee, a report and map showing_th_e extent of cur_re_nt disturbances to affected land,~
reclamation accomplished to date and during the preceding year, new disturbances that are 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 anm.al report and annnal rennrt maT to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffece for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Michael C. Refer
Permittee Name: Aggregate Industries -WCR, Inc.
Address: 1707 Cole Blvd., Ste. 100
Golden, CO 80401-3220
Phone Number: [phone]
Fax Number: - [phone] - - -
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