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<br />..-. <br />ANNUAL REPORT <br />PERMITTEE NAME: Summit Brick & Tile Co. <br />PERMIT NO.: M-1977-320 <br />• iiiiiiiiiiiiiiiiiii <br />jo ~~11 <br />OPERATION NAME: 8-Mile Clay Mine RECEIVE® <br />ANNNERSARY DATE: June 29, 2000 JUL 10 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />Division of Minerals 8 Geoh)gy <br />COUNTY: Fremont <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />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 <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that nn ndeq«ntely labeled map that clearly delineates and includes the above elements nrny <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name:/J JOSF~i~ G fif/,~LT,t~ Company: Sf//l1AI/T BRISK Tie- ~O <br />Address: f i ~~ ~~.~' ~33 Phone No.: (7I~() ~yZ-~.+~7g <br />j~dG/~LO / CO ~/G19~ -D,S~3 FAX No.: (7 /`1 ) 5~1..Z '- i vT 5~3 <br />If [here are additional comments and/or information [hat should be provided [o [he Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~- ~~ Z 2 000 <br />Sign t re Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M: WERM fM1A5TERD000MEM'SUI-AF-01 <br />