2001-02-20_REPORT - M1977324 (2)

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IIIIIII 9 111111111 99 ANNUAL FEE and REPORT REOUEST RECEIVED PERMITTEE NAME: Summit Brick&Tile Co. FEB 2 0 2001 PERMIT NO.: M-1977-324 OPERATION NAME: Stocks Clay Mine Division of Minerals and Geology ANNIVERSARY DATE: February 17,2001 ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: Fremont 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, 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 attach your revised written annual report and annual report map 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 & Tile Co. Address: P.O. Box 533 Pueblo, CO 81002-0533 Phone Number: (719) 542-8278 Fax Number: (719) 542-5243 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. Sign re Corporate Officer or Owner Date M VERM ITEM ASTERDOC UAff NTSW-AF-0I