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l <br />r <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNiJAL FEE DUE: <br />~~~~~ <br />ANNUAL FEE and REPORT REQUEST <br />Oldcastle SW Group, Inc. dba United Companies of Mesa County <br />M-2002-114 ,~ ~~~~'~~® <br />15 Road Gravel Pit ~~ <br />MAR "I 7 2008 <br />March 13, 2008 <br />Division of Reclamation, <br />$$791.00 (Due on or before your anniversary date) Mining and Safety <br />COUNTY: Mesa <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 />ofactive 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, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes 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: P.O. Box 3609 <br />2273 River Rd. <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 />Signature of Corporate Officer, Owner, or Designee <br />"._YY1 ~,., c~. 13, 02 ~ ~o <br />Date <br />