Laserfiche WebLink
3a <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Summit Brick & Tile Co. <br />M-1977-321 <br />Native/Pierre Mine <br />February 17, 2002 <br />RECEIVE® <br />FF898~y <br />~ of nr~16 ~1td t~+sinh7'yv <br />$281.00 (Due on or before your anniversary date) <br />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 [he 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 vour revised written annual report and annual report map to this form. Please mote that an <br />ude~uateJy IabelccL map that clearly delinea(es curd includes the above elements nuiy si ffice fbr a icritlen 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 />Pueblo, C0 8]002-0533 <br />Phone Number; (719} 542-8278 <br />Fax Number: .(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 to of Corporate Officer or Owner <br />Date T-~ <br />M:IPERMITMASTERDOC'UMENTSIM-AF-OI <br />