2010-01-04_REPORT - M1978349 - Laserfiche WebLink

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9 PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: Afi- + R' ANNUAL FEE and REPORT RE UEST t oldcastle SW Group, Inc. dba United Companies of Mesa County , /M- 1978 -349 Dick Casey Concr Pit �"� December 20, 2009 JAN 0 4 2010 $791.00 (Due on or before your anniversary date) ,may Division of Reclamation, � Mining and Safety Garfield 1, 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, — — reclamation accomplished to date and during the - preceding year, new disturbances that are anticipated to bccur - - during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components fee, report, and associated map If no new disturbances or reclamation have occurred during the previous year and no new changes to the previous year's map are necessary, then no new map is required, provided that the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Pete Siegmund Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County Address: P.O .Box 3609 Grand Junction, CO 81502 Phone Number: (970) 243 -4900 Fax Number: If you have additional comments and /or information that should be provided to the Division, please provide it below or attach it to this form along with yo written report and map. Annual Report instructions are enclosed. Signature of Corporate Of icer, Owner, or Designee lZ 30 - 0 Date