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RECEIVED <br />MAR 2 3 2006 <br />Division of Minerals and Geology <br />PERMITTEE NAME: Summit Brick & Tile Co. <br />PERMIT NO.: M-1977-219 <br />OPERATION NAME: Fox No. 1 Clay Pit <br />ANNNERSARY DATE: March 22, 2006 <br />ANNUAL FEE DUE: $b88.00 (Due on or before your anniversary date) <br />COUNTY: Pueblo <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <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 ~nur revised written anneal report and anneal re~prt man 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: <br />Permittee Contact: Joseph C. Welte <br />Permittee Name: Summit Brick & Tile Co. <br />Address: P.O. Box 533 <br />Phone Number: <br />Fax Number: <br />Pueblo, CO 81002-0533 <br />(719)542-8278 <br />(719)542-5243 <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 form along with your written report and map. Annual Report instructions are enclosed. <br />Si e f Corporate Officer, Owner, of Designee <br />3 2/ 2006 <br />Date ~ <br />