REP45172

• Permit No: M1977020
• IBM Index Class Name: Report
• Doc Date: 3/10/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
ANNUAL FEE and REPORT REQUEST MAR ~ O 2003
Division of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Oldcastle SW Group, Inc. dba United Companies of Mesa County
M-1977-020
Pit No 1
March 23, 2003
$688.00 (Due on or before your anniversary date)
Delta
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shalt-submit`the-annual'fee; a'report-and'"map showing tite`exfent of current disturbances to affecied land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for [he beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach. your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Richard Johnson
Permittee Name: Oldcastle SW Group, Inc. dba Uni[ed Companies of Mesa County
Address: P.O. Box 3609
Grand Junction, CO 81502
Phone Number: [phone]
Fax Number: _ - ~'-
~g7ol zH3 - S~`l5
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
~lt a., /~. ~dKU.S v..~ l\2S^InsGQ. l ``W-iliCp.r-
Signature of Corporate Officer, caner, or Designee CJ1"
r~as~~, 61 z~o3
Date
M:\PERMITMASTERDOCUMENTSNI-AF-01