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ss <br />~ S RECEIVED <br />~ ~ ~ ~ ~EP 13 2005 <br />A.~NJNTiAT. FF.F. and RF.PTIRT RF.OTTFST -Division of Minerals and Dealo~y <br />PERMITTEE NAME: ' O castle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO,: ~I-1994-097 <br />OPERATION NAME: Spring Creek Pit <br />ANNIVERSARY DATE: September 12, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />---~cco~ing to CT(.5-3- - .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 cun•ent 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 Ynar revised written anm~al rppnrt and annual re~nrt maT to this farm. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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 W. Kerr <br />Permittee Name: Oldcastle SW Group, Inc. dba <br />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: (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 />~3 w , y~~ <br />Signature of Corporate Officer, Owner, or Des_i___gnee <br /> <br /> <br />Date <br />