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/ ~ <br />• III IIIIIIIII IIII III • <br />999 <br />ANNUAL REPORT '. <br />PERMITTEE NAME: Summit Brick & Tile Co. <br />PERMIT NO.: M-1985-203 <br />OPERATION NAME: Edmondson Clay Mine <br />ANNIVERSARY DATE: May 9, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Pueblo <br />M~Y 0 9 2000 <br />9ivisror~ of Minerals & Georogy <br />i <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the pen <br />submit the annual fee, a report and map showing the extent of current disturbances <br />reclamation accomplished to date and during the preceding year, new disturbances <br />to occur during the upcoming year, reclamation that will be performed during the c <br />dates for the beginning of active operations, and the date active operations ceased f <br />note tha nn adeyuute[y labeled nwp that clearly delineates curd includes the above <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone <br />provided: <br />Contact Name: J~F~~f G W~iL7~i~ Company: <br />Address: i U Phone No.: (7~ <br />y~li~ ~ ~ plDOa~'~.3,j FAX No.:~ <br />, an operator shall <br />affected land, <br />it are anticipated <br />ring year, the <br />the year, if any. <br />Please <br />may <br />number in the space <br />I <br />lG,C~ ~ T/~F Ca <br />-~~7b' <br />If there are additional comments and/or information that should be provided to the D vision, please <br />provide it on a separate sheet and attach it to this report form along with your map a or written <br />report. i <br /> <br />ra e Officer, or Owner Date <br />/NSTl1UCT/ONS ON BACK <br />M: WERM FIV.tASTERD000 M ENTSNI-AF-01 <br />