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KIP 91, ppr- <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-1994-005 ? li v(?°, 1 ?? <br />ED <br />OPERATION NAME: Colona Gravel Pit <br />APR s L 2009 <br />ANNIVERSARY DATE: May 6, 2009 <br />J <br />CWir: rery Qr z: s, t -" <br />ANNUAL FEE DUE: $791.00 (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 report and map showing the extent of current disturbances to affected land, <br />-----reclamation-accomplished--to-date?and-durir_g-the_preced.ing_year,_new= disturbances. that_ar anticipated to occur <br />during the upcoming year,-recl"amatibn 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 vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the nrevious vear's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: 4t I?err-- <br />Is1 At,6e,,-+ <br />Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />Address: 2273 River Rd. <br />po30 3605 <br />- - - - _- ? Grand Junction, CO 81502 ? -- - - _ _ __ - ---- - ;--- -_ _- -.-_ --- _ _ ._ . _ -- <br />Phone Number: <br />Fax Number: <br />(970) 243-4900 <br />(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 enclosed. <br />ignature of Corporate Officer, ?Own`eror Designee <br />` ,, <br />Y <br />Date