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i <br /> ANNUAL REPORT PAID <br /> PERMITTEE NAME: Summit Brick & Tile Co. <br /> PERMIT NO.: M•1977-219 <br /> RECEIVED <br /> OPERATION NAME: Fox No. 1 Clay Pit <br /> ANNIVERSARY DATE: March 22, 2000 MAR 2 3 2000 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 Division of Minerals&Geology <br /> COUNTY: Pueblo <br /> According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br /> submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br /> reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br /> to occur during the upcoming year, reclamation that will be performed during the coming year, the <br /> dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised annual report map and written report to this annual report. Please <br /> note that an adequately labeled tnap that clearly delineates and includes the above elements may <br /> suffice for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the space <br /> provided: <br /> Contact Name: JOS�P/>� C bt�Ee TF Company: 5yM IT yQ��/� �Ti�F Cm <br /> Address: 6 Oi S33 Phone No.: ( 7f'/ Sys — �0278 <br /> �y�LO t GO FAX No.: <br /> glop a� -oS33 <br /> If there are additional comments and/or information that should be provided to the Division, please <br /> provide it on a separate sheet and attach it to this report form along with your map and/or written <br /> report. <br /> ?eae r, <br /> Sigyurelof Corporate Officer, or Owner Dat <br /> INSTRUCTIONS ON BACK <br /> M:IPERAI ffW ASTER DOCU M ENTSNI-AF-01 <br />