2017-05-19_M2016027_Annual Fee Notice ARCHIVE

• Permit No: M2016027A
• IBM Index Class Name: Report
• Doc Date: 5/19/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Oldcastle SW Group, Inc. dba United Companies of Mesa County
• Annual Report Year: 2017
• Media Type: D
• Archive: Yes

Page 5 of 5

Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
information on record). If this information is blank or not current , please type or print current contact information:

Permittee Contact:

Pete Siegmund
Permittee Company:

Oldcastle SW Group, Inc. dba
United Companies of Mesa
County

Address:

2273 River Road
Grand Junction, CO 81505

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:

Ben Langenfield
Company:

Greg Lewicki and Assosciates,
LLC

Address:

11541 Warrington Court
Parker, CO 80138

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Inspection Contact:

Pete Siegmund
Company:

Oldcastle SW Group, Inc. dba
United Companies

Address:

2273 River Road
Grand Junction , CO 81505

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]

I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.

Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M-AF-01