2005-07-13_REPORT - M1978009

• Permit No: M1978009
• IBM Index Class Name: Report
• Doc Date: 7/13/2005
• Doc Name: Annual Fee/Report/Map
• From: robinson brick company
• To: dmg
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME;
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Robinson Brick Company
M-1978-009
Apache 9
August 14, 2005
$688.00 (Due on or before your anniversary date)
EI Paso
JUL 1 3 2005
Givision of lvlinerals & Geology
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
shall-subrttit-the-annual-fee,-a-report-and- map-showing-the-extent-of-current-disturbances-to-affected-land- -'
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach xGnr revised written annnal rennrt and annnal re~prt map to this fni~, Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Marvin R. Myers, Jr.
Permittee Name: Robinson Brick Company
Address: 1845 W. Dartmouth Ave.
Denver, CO 80110-1308
Phone Number: [phone]
Fax Number: -1;393j'98'rtSt$--
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
L
Signature of Corporate Office • w , or Designee
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Date