2004-10-21_REPORT - M1995036

• Permit No: M1995036
• IBM Index Class Name: Report
• Doc Date: 10/21/2004
• Doc Name: Annual Fee/Report/Map
• From: Oldcastle SW Group Inc. dba United Companies of Mesa County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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OCT 2 ~ 2C04
pivision of Minerals & Geelepg
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Oldcastle SW Group, Inc. dba United Companies of Mesa County
M-1995-036
Railhead Gravel Pit
October 19, 2004
$688.00 (Due on or before your anniversary date)
Mesa
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-tile-preceding year,-new disturbances-that`are anticipated to occur
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 yeaz, if any.
Please attach ynnr revised written anm~al report and anneal rennrt man to this form- 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: p~iehard3ehasen I~ rar,-1- 1~5 . )~e rr-'
Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County
Address: P.O. Box 3609
Grand Junction, CO 81502
Phone Number: [phone]
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 your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
C~ e=-Fo~ ~,. 19 , ~,U z~ 4--
Date