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~.[` ,~~ 4 ~ ,. <br />~~ ~~ <br />ANNUAL REPORT <br />PERMITTEE NAME: The Denver Brick Company <br />PERMIT NO.: M-89-052 <br />OPERATION NAME: Dakota Clay Pit <br />ANNIVERSARY DATE: October 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Jefferson <br />• III IIIIIIIII I'll III <br />999 <br />T ~EIVEC~ <br />~E~ 16 1999 <br />OiYtg00~Mir,~,". <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please mote that an adequately labeled map that clearly delineates and <br />includes the above elements may suffice for a warren report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Wa yn G SpP.~/l ~ Company: N e~ ver 13rr"c.~ Co <br />Address: //e~4(/Gv+ ~Yfa,~ ~ ~ Phone No.: (30 3 1 6 ~~ 6 9s/ <br />/~O do}c /60v FaxNo.:(303) 6P~S~7U <br />C~ 5 ~~G ~oc~, ~d d~0/O~ <br />If there aze additional comments and/or information [hat should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature f Corporate fficer, or Owner Date <br />INSTRUCTIONS ON BACK <br />