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• <br /> <br />RECEIVED <br />FEB 0 ~ 20~ <br />lliuislon of Minerals and 6eelagy <br />PERMITTEE NAME: Oldeastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-1980-022 <br />OPERATION NAME: Preston Pit Extension <br />ANNP/ERSARY DATE: February 2, 2005 <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 the annual fee, a report and map showing the extent of current disturbances to affected land, <br />-- -reclamation-acco~nplished_to_date_and_during_the_preceding_year,_new_ disturbances_that_aze 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 Xpnr revised written anneal re~nrt and anneal rennrt ma,~n to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffrce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brent W. Ken <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: (970) 243-5946 <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 />(.9`~ ~ J le.JiJL) <br />Signature of Corporate Officer, Owner, or esigne <br />~~JZ,~..aua ~ ~~ ~Dr~S <br />Date <br />