2003-01-15_REPORT - M1977132

• Permit No: M1977132
• IBM Index Class Name: Report
• Doc Date: 1/15/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME: Oldcastle SW Group, Inc, dba United Companies of Mesa County
PERMITNO.: M-1977-132 RECEIVE
OPERATION NAME: Berry Pit
ANNNERSARY DATE: January 16, 2003 ~pN ~ 5 2003
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date/ vision of Minerals and Geology
COUNTY: Rio Blanco
According [o 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,
reclamation-accomplished-to-date and-during the-preceding year, new disturbances-that-arc anticipated-to occur
during the upcoming year, reclamation that will be performed during the coming year, [he dates for [he beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ypa~r revised written anneal rennrt and anneal rennrt m;tp to this form. 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:
Petmittee Contact: Richard Johnson
Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County
Address: P.O. Box 3609
Grand Junction, CO 81502
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corporate Officer, Owner, esignee
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Date
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