Laserfiche WebLink
l/ <br />ANNiiAI, FF,F, and RF,PORT RF.ni1F.ST <br />PERMITTEE NAME: Robinson Brick Company ~~~~' ~~® <br />PERMIT NO.: M-1981-148 NOV ®¢ 2003 <br />OPERATION NAME: Chieftain South Mine tTivisional141iacraiSandGeology <br />ANNIVERSARY DATE: November 1, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Jefferson <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 annua]-fee,-a report-and map shawin~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 ym~r revised written anneal rennrt and annual reRQrt man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael G. Leidich <br />Permittee Name: Robinson Brick Company <br />Address: 1845 W. Dartmouth Ave. <br />Englewood, CO 80110 <br />Phone Number: <br />Fax Number: <br />(303) 781-1818 <br />~~7~53-~,~`,p <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it [o this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />(303) 783-3047 <br />M:\PERMIN7ASTERDOCUMENTSVN-AF-01 <br />