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~~F~~ ~~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~Idcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: v1GI-1977-132 <br />OPERATION NAME: Berry Pit ~~~~Q~6'~® <br />ANNNERSARY DATE: January 16, 2007 /JAN <br /> ~ 8 Z~O~ <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br /> ~ivision of ReGamation, <br />COUNTY: Rio Blanco Mining and Safety <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 permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that_aze anticipated to occur <br />'--during t rl a upcoming year, r- ectamation 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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components; fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous vear and no new chances to <br />the previous year's map are necessary. then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suff ceror a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brent W. Kerr <br />Pennittee Name: <br />Address: <br />Oldcastle SW <br />P.O. Box 3609 <br />Group, Inc. dba United Companies of Mesa County <br />Grand Junction, CO S 1502 <br />Phone Number: (970) 243-4900 <br />Fax Number: <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 Corporate Officer, Owner, or Designee <br />~~.~ / 5 a O c~ 7 <br />to <br />