2011-06-17_REPORT - M1990112

• Permit No: M1990112
• IBM Index Class Name: REPORT
• Doc Date: 6/17/2011
• From: Lafarge West, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: BMK
• Media Type: D
• Archive: No

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I RECEIVED
ANNt 4AfEE and REPOR QUEST
JUN 17
PERMITTEE NAME. Lafarge West, Inc.
PERMIT NO.: /VI-1990-112 Mining Dlvi?l R?alen?t?tian,
IYl & 3Aty
OPERATION NAME: State Pit
ANNIVERSARY DATE: June 15, 2011
ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date)
COUNTY: Pueblo
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,
new disturbances that are anticipated to occur
reclamation accomplished to date and during the preceding year
- - r -- -
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 vour revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous vear's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. 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: Robert Ray
Permittee Name: Lafarge West, Inc.
Address: 10170 Church Ranch Way, Ste. 200
Westminster, CO 80021
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be
below or attach it to this form along with your written report and map.
Signature of orporate Officer, w , or Designee
Date
provided to the Division, please provide it
Annual Report instructions are enclosed.