2006-02-15_REPORT - M1980245

• Permit No: M1980245
• IBM Index Class Name: Report
• Doc Date: 2/15/2006
• Doc Name: Annual Fee/Report/Map
• From: Robinson Brick Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNiiAI. FF.F, and RF,PCIRT RF.niTFST
;/ Robinson Brick Company
M-1980-245
Hogback Mine
February 10,2006
RECEIVED
'~ DEB 15 2006
/pwision of Minerals and Geology
$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
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 ynnr revised written anneal report and annual rennrt man to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may sufftce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Marvin R. Myers, Jr.
Permittee Name: Robinson Brick Company
Address: 1845 W. Dartmouth Ave.
Denver, CO 80110-1308
-Phone Number: ` (303)"783''-3046-`-~ -
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, Owner, or Designee
Date