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,ti-aim <br /> <br /> <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of l~ ~auitt~~ <br />PERMIT NO.: M-1991-136 <br />Oieisivv of 4gtine[als avd Gsvlvg~~ <br />OPERATION NAME: River Road Pit <br />ANNNERSARY DATE: February 25, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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 permif, an operat~ d~4`~ <br />shall-submit-tl-,e-annual-fee,-a-report-and-map showing the-extent-of onrrent-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 />please attach vrnur revised written anneal rennrt and annnat re. rt man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: ~~ie~-3eMtseh-- <br />Permittee Name: <br />Address: <br />Oldcastle SW <br />P. O. Box 3609 <br />Group, Inc. dba United Companies of Mesa County <br />Grand Junction, CO 81502 <br />Phone Number: (970) 2431}900 <br />Fax Number: (970) 243-5945 <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 />/ ~;_~- w . ~-~~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M:~PERMITMASTERDOCUMENTSU9-AF-01 <br />