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f~~~~~rtlLD <br />~ ~`~ ~ MAR 1:; 2006 <br />~ ANNiiAT, FF.E and RF,PnRT REnTiF.ST Wlwswn of Mmerels and GeWOgy <br />PERMITTEE NAME: ~ Oldcastle SW Group, Inc. dba Four Corners Materials <br />PERMIT NO.: /M-1983-028 <br />OPERATION NAME: Wallace Pit <br />ANNIVERSARY DATE: February 24, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Montezuma <br />_ _A_ccording 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-t;~e amrual fec; a report and-map showing-thc-cxtenf o.`-cun•errt-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 annnal rennrf and annnal report main fn this form. 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: Marcia Talvitie <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: (970) 259-3631 <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 />i <br />gnatur f Corpo e OfScer, Owner, or Designee <br />d9 /~O~Ch ,ZDOlp <br />Date <br />