2002-10-22_REPORT - M1977319

• Permit No: M1977319
• IBM Index Class Name: Report
• Doc Date: 10/22/2002
• Doc Name: 2002 Annual Report
• From: Persolite Products Inc.
• 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:
ANNUAL FEE and REPORT REQUEST
Persolite Products, Inc.
M-1977-319
Swallow Perlite Mine
FiECElVED
OCT 2 22002
November 22, 2002 Division of Minerals and Geology
$225.00 (Due on or before your anniversary date}
Custer
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-aecomp}ished-te-date and during the-preceding-year, rtuw-distsrbances 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 mau 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: Michael J. Steiner
Permittee Name: Persolite Products, Inc.
Address: P.O. Box 505
.-Phone Number:
Fax Number:
201 S. Robinson
Florence, CO 8]226
(719) 784-653~I
[phone]
If you have additional comments and/or information [hat 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.
)b.~...Jl~~ --
Signature of Corp ate Officer, Owner, or Designee
/O /~-42
Date
M:~PERM7r1MASTERD000M ENTS/M-AF-02.DOC