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<br />RECE9VED <br />MAY 1 97.003 <br />Division of Minerals anA Gee19/y <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-2001-100 <br />OPERATION NAME: BLM Pit No. 1 <br />ANNNERSARY DATE: May 15, 2003 <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-I 16, each year, on the anniversary date of the permit, an operator _' <br />shall-satimit`the annual-fee; areport-and'map showing 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 xonr revised written anneal report and anneal rennrt min to this fnrm_ Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since jor a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richard G. Johnson <br />Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />Address: <br />Phone Number: <br />Fax Number: <br />P.O. Box 3609 <br />2273 River Rd. <br />Grand Junction, CO 81502 <br />(970)243-4900 <br />(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 />v 7~CLtQ../~ VOl,1. ~.LS~,-, l,~eSo,.'fcQ, <br />~~~~~ <br />Signature of Corporate Officer, weer, or Designee <br />NL~ IN Za <br />Date <br />MiPERM ITU-tASTERDOCUMENTSU1-AF-0I <br />