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A FEE and PO T REQUEST <br />PERMITTEE NAME: ~ Oldcastle SW Group, Inc, dba United Companies of Mesa County <br />PERMIT NO.: .~I~I-1988-037 '~~n-. <br />OPERATION NAME: United/Norwood Pit ` ~ ~%a/~ <br />~ ~,?~ y <br />ANNIVERSARY DATE: May 25, 2007 D;va;o, '' 9Z~9I <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) ~r'r;; - <br />COUNTY: Montrose y <br />According to C.R.S_34-32.5-116 or C.R.S. 3_4_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, resort, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's man 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 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 />Pennittee 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: (970) 243-5945 <br />If you have additional connnents 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 />~LYL c c- 2-Ua `" <br />Date <br />