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~~®~,~~ <br />~~~ ~ ~~~~ <br />ANMiAT. FFF, and REPORT RF.nTiF.CT OC~ , <br />o~~~SE~a\52narYr <br />PERMITTEE NAME: Oldcastle SW Group, Inc, dba United Companies of Mesa•Gounty <br />PERMIT NO.: M-1995-036 <br />OPERATION NAME: Railhead Gravel Pit 'i~ ~;_;-'r_i pll`i i9a:~y <br />ANNIVERSARY DATE: October 19, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Mesa <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 />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 ynnr revised written annual re~nrt and annual rennrt man 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. <br />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 />(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 />Signature of Corporate Officer, Owner, or Designee <br />G~~o~-,es ~5 , 2cx~3 <br />Date <br />M:\PERM nU1ASTERDOCUMENTSUI-AF-01 <br />