REP37816

• Permit No: M1977321
• IBM Index Class Name: Report
• Doc Date: 2/20/2001
• Doc Name: SALES RECEIPT
• From: DMG
• To: SUMMIT BRICK & TILE CO
• 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:
ANNUAL FEE and REPORT REQUEST
Summit Brick & Tile Co.
M-1977-321
Native/Pierre Mine
February 17, 2001
RECEIVED
FEB 2 0 2001
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Pueblo
According to C.R.S. 34-325-I 16 or C.R.S. 34-32-116, each year, on [he 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 corning year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual resort and annual resort map to this form. Please note that crrr
adequately labeled rnap tJrnt clearly delineates arrd includes the above elements may suffice for a written
report.
Division records indicate the following Permittee contact inforniation. Please verify and make any necessary
changes:
Permittee Contact: Joseph C. Welte
Permittee Name: Summit Brick & Tile Co.
Address: P.O. Box 533
Pueblo, CO 81002-0533
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.
or Owner
Dale
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