2005-07-13_REPORT - M1979221

• Permit No: M1979221
• IBM Index Class Name: Report
• Doc Date: 7/13/2005
• Doc Name: Annual Fee/Report/Map
• From: robinson brick company
• To: dmg
• Media Type: D
• Archive: No

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Robinson Brick Company
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t°~Pe~r 1r~,
JU( 13 2005
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
M-1979-221
Ute Mine
August 26, 2005
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Division of hfinerafa & Ccolo® y
$688.00 (Due on or before your anniversary date)
Douglas
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, t}re dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anmral report and annual report m~tn this frmpy 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: -1M~r;kael-~-Feidieh
Pennittee Name: Robinson Brick Company
Address: 1845 W. Dartmouth Ave.
Denver, CO 80110-1308
Phone Number: .1;?94~- .30.3 - 7~5~3 - 9o~lL,
Fax Number: rFS03j-98Y=Y8T11- ~ ~, 3' '1°6 3=~2Q<1~.
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.
ignature of Corporate Of cer, Ow~r , or Designee
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Date