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<br />~~~~ <br />/ ANNiIAi. TF F, and REPORT RF.OiiFST <br />FtECEIVE~ <br />~ MAY 1 5 2006 <br />Divis~w, oy Minerals ann beuia9Y <br />PERMITTEE NAME: / Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: t/M-2001-100 <br />OPERATION NAME: BLM Pit No. 1 <br />ANNIVERSARY DATE: May 15, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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 annual rennrt and annnal report mar M 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 />Permittee Contact: Brent W. Kerr <br />Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />Address: P.O. Box 3609 <br />2273 River Rd. <br />Grand Junction, CO 81502 <br />Phone Number: (970) 243-4900 <br />Fax Number: (970) 243-5945 <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 />Signature of Corporate Officer, Owner, or Designee <br />l}'Y~ ' 1 2 ~ 2- J'v <br />Date <br />