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~ iii iiiiiiiiiiiii iii <br />ANNUAL REPORT <br />PERMITTEE NAME: The Denver Brick Company <br />PERMIT NO.: M•96-064 <br />OPERATION NAME: Stevens Clay Lease <br />ANNNERSARY DATE: December 23, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Douglas <br />• ~~ <br />~EGENE~ <br />J AN ~ 5 2000 <br />p~vi9onolMt~~FS ~Gep109Y <br />According to C.R.S. 34-32.5-1 16(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual resort map and written report to this annual report. Please <br />mote that nn adeguntely labeled map that clenrly delineates and includes the above elements mny <br />suffice for n 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: `N ~4 Y n e ~n ~nC~ <br />Adddress: ~ ~ X ~ ~ ~ ~ <br />Gm s ~/e ~o ~,~ Co ~o~~z <br />Company: ,(/ e/I V C r ~ Y' i C ~ LD <br />Phone No.: (~~-~) ~ d'~ 6 q~ <br />Fax No.: (~D3) 6 Q~ .~ v2 70 <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 />Signature of rporate Of er, or Owner Date <br />INSTRUCT/ONS ON BACK <br />