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<br />r/ <br />• RECEeVEp <br />ANNiiAi, FF.F, and RF.P(lRT RF.OiIF.ST MAY ? 1 ?003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Division sf Minerals and GealogY <br />Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />M-1988-037 <br />United/Norwood Pit <br />May 25, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Montrose <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 <br /> <br />snau suomu me annuat tee, a report ana map snowing me extent or current msturoances ro attecteo tans, <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 annnal report and annual report man to this form- 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: Richard Johnson <br />Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />Address: P.O. Box 3609 <br />Phone Number: <br />Fax Number: <br />~~ Z~{3- 5rf~lS <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 />C~• ~lA e.v~l,~o~~S~~ ~2<Av-SCG t~'~~es•.I,c~2.>' <br />Signature of Corporate Officer, Owner, or Designee <br />'~ 24 2UC)3 <br />Date <br />Grand Junction, CO 81502 <br />(970)243-4900 <br />MiPERMITUTASTERDOCUMENTSU1-AF-01 <br />