Laserfiche WebLink
,' ~ P ~- <br />A1`t]VITAL FE~and REPORT REQUEST <br />~,~A/~ i <br />/V~ <br />PERMITTEE NAME: ,~8ldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br /> <br />ANNUAL FEE DUE: -~1Gf-1979-205 ~~~ y 6 ~ 9a~ ~~ <br />Chambers Pit BUG ? <br />August 15, 2007 - 207 <br />Div' ion of tceraamaaon, <br />$791.00 (Due on or before your anniversary date) Mining and Sa7ety <br />COUNTY: Garfield <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 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 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 durine the previous year and no new changes to <br />the previous year'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 suffece 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 Kerr <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: <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 />Signature of Corporate Officer, Owner, or Designee <br />i) u~.d_ . I ~}___~ <br />Date ~ <br />