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RECEIVEp <br />'" MAR 10 2003 <br />ANNUAL FEE and REPORT REQUEST <br />Or~ision of Minerals and Geology <br />PERMITTEE NAME: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />PERMIT NO.: M-1977-022 <br />OPERATION NAME: Pit No 3 <br />ANNIVERSARY DATE: March 28, 2003 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Delta <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 ieport` an8 map showing the extent of current disturbances to affec~~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 resort and annual report moo 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: Richazd Johnson <br />Permittee Name: Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />Address: P.O. Box 3609 <br />Phone Number: <br />Fax Number: <br />Grand Junction, CO 81502 <br />(970) 243-4900 <br />Tg7o) z~13 - 5 t`15 <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 />~c~e.,..t, ~oVtuSo~n l~esou.rce, 1 ~ of <br />Signature of Corporate Of rcer, Owner, or Desi e <br />N~.~, (, . 2~xJ3 <br />Date <br />M:~PERMITMASTERD000MENTSUI-AF-01 <br />