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1 ~-~ - - <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />J <br />Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />M-2001-077 <br />Piceance Pit <br />i:,~ di~L ~1 Hn_~~.54 <br />August 28, 2003 <br />$281.00 (Due on or before your anniversary date} <br />Rio Blanco <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 reporf-and map sfio`wing the extent of current 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 attacJLynur revised written annual renurt and annual re~urt man to 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: 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: ~6f~ 2 ~..1 ~ - ret t.~ 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 />lam. ~lLtr~a~u...~_ <br />Signature of Corporate Officer, Owner, or Designee <br />g~zS ~0 3 <br />Da~ <br />RECEIVED <br />Auc 2 ~ zoo3 <br />Division ~f Minerals and Geology <br />M:~PERMITNIASTERDOCUMENTSVN-AF-01 <br />