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RECEIVED <br />. MAY 1 9 2003 <br />ANNiIAf. FF.F, and REPORT RF.niiF.ST Division of Minerals and Geology <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-1994-005 <br />OPERATION NAME: Colona Gravel Pit <br />ANNIVERSARY DATE: May 6, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <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 r---e'por~ and map showing the extent of current disturbances to affected-tand, <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 your revised written anneal re~nrt and anneal rennrt m ~n 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: ~i7U) Zc(~,rj~ys <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 />- uCIA.U~tI. ~-~/w1.t S0~ ~C7SOWrC.Q I-~N4~2,~r <br />Signature of Corporate Officer, Owner, or DesigneeU <br />Date <br />M:IPERMITU-IASTERD000MENTSVv1-AF-01 <br />