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<br />Y~~~;~iii(t~ <br />ANNiiAi. FF,F. and RF,PORT RF./7iiF,ST DEC 2 22003 <br />Illvision of Minerals and GeoloGy <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-1983-142 <br />OPERATION NAME: Hall Pit <br />ANNIVERSARY DATE: December 21, 2003 <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-thz-amntat-fce,-a-report-and map-showing-the-exteiit-of-~,•urrent-distarbances to-aPfe~ted-laud, <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 rennrt and annual report m ~n in 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: 4Helta~-3ekNSea- <br />~re n~ ~/~/ , ~~e, r r <br />PermitteeName: 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: 9'10- 'z-43- S 4 4 S' <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 />~.e.c, , l 7~ ~yU 3 <br />Date <br />M:~PERMI'MIASTERD000M ENTSVN-AF-01 <br />