REP44243

• Permit No: M1977219
• IBM Index Class Name: Report
• Doc Date: 3/25/2002
• Doc Name: 2002 Annual Report
• From: Summit Brick & Tile Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVEa
ANNUAL FEE and REPORT REQUEST
MAR 2 52002
Division of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNP/ERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Summit Brick & Tile Co.
M-1977-219
Fox No. 1 Clay Pit
March 22, 2002
$688.00 (Due on or before your anniversary date)
Pueblo
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
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 coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual resort man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact Joseph C. Wel[e
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 [he Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.

of
Date
or Owner
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