2001-12-12_REPORT - M1977317

• Permit No: M1977317
• IBM Index Class Name: Report
• Doc Date: 12/12/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Summit Brick and Tile Co.
M-1977-317
Cedarwood Clay Mine
December 15, 2001
RECEIVED
DEC 12 2001
Oiuisian of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Pueblo
~~
According [o C.R.S. 34-32.5-I 16 or C.R_.S. 34-32-] 16, each year, on ~e anniversary date of the permit, an-operator
shall submit 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 [he coming year, the dates for [he beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual resort and annual resort map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may sake for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ioseph C. Wel[e
Permittee Name: Summit Brick and Tile Co.
Address: P.O. Box 533
Pueblo,CO 81002-0533
Phone Number: [phone]
Fax Number: [phone] - - - -
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.
uG~"' K
Si a[ a of orporate Officer or Owner
Date
AT W ERMINIASTERDOCUMENrSV.1-AF-01