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f~" <br /> <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-1977-132 +lE~.+~~~,~® <br />OPERATION NAME: Berry Pit <br />ANNIVERSARY DATE: January 16, 2005 SAN 2 0 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) Division of Mineral <br /> s and Genlugy <br />COUNTY: Rio Blanco <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />_ _ .-shall submit -the-annual -fee,-a-report- -and -map _showing_the-extent-of_cur+~ent-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 re~nrt and annual re~,nrnrt ma,p to this form- j~[ease note that an <br />adequately labeled map that clearly delineates and includes the above elements may suJjice for a written report. <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: ~ °~°'-°-' <br />Permittee Name: <br />Address: <br />Oldcastle SW <br />P.O. Box 3609 <br />r"` IJ r'e v.~i- ~/~/ , ~ ~e r r <br />Group, Inc. dba United Companies of Mesa County <br />Grand Junction, CO 81502 <br />Phone Number: (970) 243-4900 <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 instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />~4- a~~ <br />to <br />