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tn~L <br />ra a.~-o6 <br />s~5 <br />~,. <br />PERMITTEE NAME: y Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: ~M~-1995-036 <br />OPERATION NAME: /Railhead Gravel Pit RE'/'~~~~~~ <br />ANNNERSARY DATE: October 19, 2006 ~ ~G,j <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) 2 ~ zpDS <br />//Division of Reclamation, <br />COUNTY: Mesa 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 t_o date and duri~ the preceding year, new disturbances that are antlClDated to oc9ur <br />___ duri~ the_upcomin~year~ reclamation that will be_per~'ormed 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 vour revised written annual reuort and annual reuort maa to this Form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />moo. If no new disturbances or reclamation have occurred durinc the arevious vear and no new chances to <br />the previous year's maa are necessary, then no new moo is required, urovided 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 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: Brent W. Kerr <br />Pennittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />Address: P.O. Box 3609 <br />Phone Number: <br />Fax Number: <br />Grand Junction, CO 81502 <br />(970)243-4900 <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 />~~~~ W ~ ~~oh~, <br />Signature of Corporate Officer, Owner, or Designee <br />~ c-1-, i '7, z D 6 6 <br />Date <br />