2003-05-22_REPORT - M1979075

• Permit No: M1979075
• IBM Index Class Name: Report
• Doc Date: 5/22/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNiIAI, FF,F, and RF,PnRT RF.OfiFST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
RECEIVED
MAY 2 2 2003
Division of Minerals and Geology
Oldcastle SW Group, Inc. dba United Companies of Mesa County
M-1979-075
Chambers Gravel Pit
May 29, 2003
$688.00 (Due on or before your anniversary date)
GarTield
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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
shall-submit-the-annual-fee,,-a-report-and'map-showing-the'extent'of current'disturbances-to affected-land, -
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written annnal rennrt and annnal rennrt main to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Richard Johnson
PermitteeName: Oldcastle SW Group, Inc. dba United Companies of Mesa County
Address: P.O.3609
Grand Junction, CO 81502
Phone Number: [phone]
Fax Number: ~~1~~2~t3-5l~{5
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
41~ L~s~ ~~~+-~6va lA'G`Jau,JCQ. ~~`/~~Qd,1~
Signature of Corporate Officer, Owner, or Designee
l a o0 3
Date
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