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<br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-2002-114 <br />OPERATION NAME: 15 Road Gravel Pit R ~C ~ I ~1~ ~ <br />ANNP/ERSARY DATE: March 13, 2006 <br />ANNUAL FEE DUE: $658.00 (Due on or before your anniversary date) MAR 1 .~ 206 <br />COUNTY: Mesa Diwsion of Minerals and Qsolopy <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 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 ym.r revised written anneal re~nrt and anneal re~nM map to this fnrm_ 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: Brent W. Kerr <br />Permittee Name: Oldcastle SW Group, <br />Inc. dba United Companies of Mesa County <br />Address: 2273 River Rd. <br />P.O, Box 3609 <br />Grand Junction, CO 81502 <br />Phone Number: (970) 243-4900 <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 />Signature of Corporate Officer, Owner, or Designee <br />~7'Y~ o.~ c~C.. g,, ~ O O ~o <br />Date <br />