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iC <br /> <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />RECEIVED <br />SEP 1 D.2003 <br />Olvision ~t Minerals and Geolo9Y <br />Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />M-1994-097 <br />Spring Creek Pit <br />September 12, 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 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 dwing the preceding year, new distwbances that are anticipated to occw I <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 anmial re~nrt and annual rennet ma~tn this fnrm_ 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 />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 />/~, .ct~, GJ/~+ ~A~Su~ ~Q~AuSc Q~ N~~.,,Y~ y f <br />Signatl1ure of Corporate Officer, Owner, or Designee S <br />~e,~.. 8 20~ <br />Date <br />M:\PE RMINN ASTERDOCUMENTSVvI-AF-OI <br />