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c RECEEIILD <br /> ~ <br /> JAN 1 5 2003 <br /> ,;,, <br /> Division of Minerals and Deol w <br /> o <br />ANNTiAT, FF,F, and RRPORT RF.tTDF.RT 9Y p <br /> ~: V <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-1990-021 <br />OPERATION NAME: Virginia Acres <br />ANNIVERSARY DATE: January 24, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <br /> <br />According to C.R.S. 34-32.5-] 16 or C.R.S. 34-32-1 16, each year, on [he 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 far the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Pleas a tarh ymrr revised written annual rejor and annual r nnrt main to this form. please note that att <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a tio~ritten report, <br />Division records indicate the following pemuttee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Richard Johnson <br />Permi[[ee Name: Oldcastle SW Group, Inc, dba United Companies of Mesa County <br />Address: <br />P.O. Box 3609 <br />-- Phone Number: <br />Fax Number: <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 instmctions are enclosed. <br />~`- <br />~~ia-+ U~ '~O..i <br />Signature of Corporate Officer, Owner, Designee <br />~~uu--, (3~z~o3 <br />Date <br />M:~PERA11T1MASTERD000MENTSU9-AF-0I <br />Grand Junction, CO 81502 <br />(970)243-4900 <br />