REP02953

• Permit No: M1985203
• IBM Index Class Name: Report
• Doc Date: 5/12/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~~
V
RECEiVE®
MAY 1 2 2003
Division ~f Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Summit Brick & Tile Co.
M-1985-203
Edmondson Clay Mine
May 9, 2003
$281.00 (Due on or before your anniversary date)
Pueblo
According to C.R.S. 34-,x_32.5-11_6 or C_R.S. 34-32-116, each year,.on the anniversary_date of-thepermit; an~operator~~_-
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written anneal rennrt and annual re~nnrt man to this form- please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joseph C. Welte
Pertnittee Name: Summit Brick & Tile Co.
Address: P.O. Box 533
Pueblo, CO 81002-0533
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to [he Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
~~~~
Sign re 'Corporate`Of ricer, Ow- n~Designee
.~/ ~/ ~®3
Date
M iPERMITUTASTER DOCUMENTSVv1-AF-01