Laserfiche WebLink
~S <br />{~JW <br />PERMTI'TEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />The Denver Brick Company <br />M-1977-392 <br />Dawson Mine <br />March 11, 2004 <br /> <br />MAR 1 22004 <br />$688.00 (Due on or before your anniversary d~B~On of Minerals and cec:o;i <br />Elbert <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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 ynnr revised written annnal report and anmial repn~ 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: Charles (Toby) Platt <br />Permittee Name: The Denver Brick Company <br />Address: <br />- Phone Number: = <br />Fax Number: <br />401 Prairie Hawk Dr. <br />Castle Rock, CO 80104 <br />(303)688-695-1-- <br />(303) 688-5270 <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 farm along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate O facer, Owner, or Designee <br />Date <br />