Laserfiche WebLink
A F ~ ~ ~'7- <br />ANNiiAi, FF.F, and RF.P<7RT RF.( i <br />RECEIVED <br />PERMITTEE NAME: The Denver Brick Company <br />PERMIT NO.: ~ 1976-007-UG ~Cfi~~~ <br />OPERATION NAME: Golden Mine ~ Division of Minerals and Ceolopy <br />ANNIVERSARY DATE: October 4, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <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 opemtions, and the date active operations ceased for the year, if any. <br />Please attach ~nnr revised written anneal report and annual repprt main to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Albert Templeton <br />Permittee Name: ~ <br />Address: 401 Prairie Hawk Dr. <br />Castle Rock, CO ~0-I94 ~"D 1 D q <br />Phone Number: (303) 688-6951 <br />Fax Number: (303) 688-9894 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach~o this form along~i~ggur written report and map. Annual Report instructions are enclosed. <br />Signatur of Corporate Officer, r Designee <br />9~~,~.~ <br />Date <br /> <br />