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L <br />O RRI <br />A? t/ JAN 2 8 2009 <br />ANNUAL FEE and REPORT REOUEST .1 Division of Reclamation, <br />J% Mining and Safety <br />PERMITTEE NAME: foldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: JM-2005-021 <br />OPERATION NAME: Anderson Pit <br />ANNIVERSARY DATE: February 1, 2009 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Delta <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 <br />_ operator shall submit the annual feed a report and map -showing the extent of current disturbances fo affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous vear's map are necessarv, then no new map is reauired. provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />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: II L <br />Permittee Contact: Went 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) 243-5945 <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 <br />enclosed. <br />ignature of Corporate Officer, Owner, or Designee <br />Va'ek <br />Date <br />M:\PERI MVv1ASTERDOCLTN ENTS\M-AF-04