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<br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba Four Corners Material~ECEI VED <br />PERMIT NO.: M-1976-020 <br />OPERATION NAME: Thomas Pit ~ 1 9 <br />ANNIVERSARY DATE: July 28, 2003 Division of Minerals and Geplagl <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 ynnr revised written anneal rennrt and anneal report main to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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 />PermitteeContact: Viefer~-Boren ~UrC,la ~' ~4~/y~7L' <br />Permittee Name: Oldcastle SW Group, Inc. dba Four Corners Materials <br />Address: P.O. Box 2707 <br />Durango, CO 81302 <br />Phone Number: (970) 247-2172 <br />Fax Number: 0970) Z,59-3(03 / <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 />z~ for'/ za~9 <br />Date <br />M:~PERMIT~MASTERD000MEMSUN-AF-01 <br />