Laserfiche WebLink
~ ~- ~ ~, , ~ <br />AN AL FE and REPORT REQUEST <br />PERMITTEE NAME: ~Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: ~M-2002-114 <br />OPERATION NAME: 15 Road Gravel PIt !'~% "' <br />ANNNERSARY DATE: March 13, 2007 ~ r7f o <br />ANNUAL FEE DUE: $$688.00 ue on or before our anniversar date !~ ~ ~ "1~,1j <br />lv;i ' Sofy.;Y <br />COUNTY: Mesa ~ n,~~g ~;,~ on, <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 vour revised written annual report and annual report man 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 durinc the previous year and no new chances 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 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: Brent W. Kerr <br />Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />Address: 2273 River Rd. <br />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 />/~.~ w <br />Signature of Corporate Officer, Owner, or Designee <br />~Y2'L o-ti c Q. C U, 2 0 0 <br />Date <br />