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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />Oldcastle SW Group, Inc. dba Four Corners Materials <br />M-1983-028 RECEIVE D <br />Wallace Pit <br />February 24,2003 <br />APR 0 7 2003 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) Oivisian of Minerals and Geology <br />COUNTY: Montezuma <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on th_e anniversary date of the permit, an operator <br />sha1L submit the. annual fee, a report and map showina_the extent_of_current_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 ynnr revised written anmral report and annnal re~{{}rt main to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Fe4ente-Petter /~IQ/'C/Q TQ~V/?l/G <br />Permittee Name: Oldcastle SW Group, Inc. dba Four Corners Materials <br />Address: P.O. Box 2707 <br />Durango, CO 81302 <br />I- - '-=-Phone Numberi- <br />(970)247-2172 - <br />Fax Number: Cy1O) Z.S1r' .3103 <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 />~_ ~ . <br />Signature of Q'orporate 6fficer, Owner, or Designee <br />q~~-o3 <br />Dale <br />M iPERMI7'~MASTERDOCUMENTSU4-AF-01 <br />