2005-12-16_REPORT - M1977317

• Permit No: M1977317
• IBM Index Class Name: Report
• Doc Date: 12/16/2005
• Doc Name: Annual Fee/Report/Map
• From: Summit Brick and Tile Co.
• To: DMG
• 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:
ANNiiAT, FF,F, and RF.PnRT RF.nTTF.ST
/ Summit Brick and Tile Co.
M-1977-317
Cedarwood Clay Mine
December 15, 2005
RECEIVED ~~
,/ DEC ~ 62005
/Diuision of Minerab and 6aotbpy
$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£ee,_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 atta~ynnr revised written anneal rennrt and anmral report m n to this form- 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 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.
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Si a e of Corporate Officer, O er, or Designee
Date