2006-12-18_REPORT - M1977317

• Permit No: M1977317
• IBM Index Class Name: Report
• Doc Date: 12/18/2006
• Doc Name: Annual Fee/Report/Map
• From: Summit Brick and Tile Co.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
,/ ANNUAL FEE and REPORT REpUEST
~ Summit Brick and Tile Co.
/M-1977-317
Cedarwood Clay Mine
December 15, 2006
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12-ice c~
~~C~~VED
~ DEC 18 2006
~ivision of ReGamation,
Mining and Safety
$$281.00 (Due on or before your anniversary date)
Pueblo
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 submit the annual fee, a_report_and_map_ showing the_extent of current. disturbances _to_affected. land,
iecla`mafion accomplished°to date`an'd during-the precedingyear; new distuiliances 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 vour revised written annual report and annual resort maa to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
maa. If no new disturbances or reclamation have occurred durinc the arevious vear and no new chances to
the previous year's maa are necessary, then no new maa is required, provided that the Operator shall state
this in the Annual Repots. Please note that an adequately labeled map that clearly delineates and includes the
above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joseph C. Welte
Permittee Name: Summit Brick and Tile Co.
Address: P.O. Box 533
___ Pueblo, CO 8]002-0533
Phone Number:
Fax Number:
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
~N`'~-
Sign t e o Corporate Officer, Owner, or Designee
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Date