2005-02-16_REPORT - M1997007

• Permit No: M1997007
• IBM Index Class Name: Report
• Doc Date: 2/16/2005
• Doc Name: Annual Fee/Report/Map
• From: The Denver Brick Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
The Denver Brick Company
M-1997-007
Bijou Clay Mine
February 19, 2005
$688.00 (Due on or before yoar anniversary date)
Elbert
~-
R~C~IV~®
FEB 16 ~
Division of Minerals and Geology
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 t- i``[ a preceding year, new m'•srurban' ces first are anti~ipat~d'tsac-w-
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~pnr r vic rf written anneal rennrt and anneal report maw to this form- Please note that an
adequately labeled map that clearly deliueates and includes the above elements may suffice for a written report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permlttee Contact c°-.~nm;vs-inR A169/~ ~• ~t°/~Y/L~~iri~U~
Permittee Name: The Denver Brick Company
Address: 401 Prairie Hawk Dr.
Castle Rock, CO 80104
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.
Signature of Corporate Officer, O r, or D ignei
Date