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T ~ ~~~}~ <br />~t~ <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br />PERMITTEE NAME: Summit Brick & Tile Co. FEB ~ 9 <br />PERMI'T' NO.: M-1977-324 ~irision of Minerals and Cao1o~, <br />OPERATION NAME: Stocks Clay Mine <br />ANNNERSARY DATE: February 17, 2002 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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 />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. Aleace note thnt nn <br />adeyuutely' labeled map that clearly delineates and includes the above elements nary se fJice for a written repurt. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: .Joseph C. Welte <br />Perinittee Name> Summit Brick & Tile Co. ~- <br />'Address: P.O. Box 533 <br /> Pueblo, CO 81.002-0533 <br />Phone Number: (719) 542-8278 <br />Fax Number: (719) X42-243 <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 />~ ~ o.~~~ <br />Si at re of Corporate Office or Owner <br />~~-~- <br />Date <br />MiPERM 1TIMASTERDOC UM ENTSVN-AF-01 <br />