Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />The Denver Brick Company <br />M-1976-007-UG <br />Golden Mine <br />October 4, 2003 <br />~~~~... <br />~~~ <br />oc ~~® <br />~~risioa n/ j Os <br />Miaera/sae+Ge%gy <br />$281.00 (Due on or before your anniversary date) <br />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 />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 ynnr revised written anneal report and anneal report 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: /~ r- I f <br />Permittee Contact: 6et~-Nitres l~ `r `G C 1e 5 ~~~1~~ <br />Permittee Name: The Denver Brick Company c <br />Address: 401 Prairie Hawk Dr. <br />Castle Rock, CO 80104 <br />Phone Number: (303) 688-6951 ~x.-E , 3 D <br />Fax Number: (303)688-5270 (303) r~B~-989Y <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 for~long with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />id-of-o.3 <br />Date <br />M:~PERMINIASTERD000MENTSVN-AF-01 <br />