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hl. i ~ <br />I'I.RMII'I'li@ NAMIi: Sunuuil Prcsscd Brick &'I'ilc Co. RECEwE~ <br />1'IiRbll'I NO.: ;~I-1993-1180 ~ 2T My", <br />(H'1•R:1fIl)N NAivfl:: Calhan <'Iny 1'it ~w0 <br />- O~vumn nl MiunrW Me <br />ANNIVI.RtiARI' I)Al li: :~pril ?h, ?1111(+ ''r <br />ANM':11. PFI•. l)I I1[: $h88.110 (Uuc on or bclbrc your unnivenury date) <br />('(Il ~ N I Y: EI Puxo <br />Acarrdmg dr ('.K.5. 34-32.5-I I6 or ('.R.S. ~4-~2-1 Ib. each your. on the anmvcrsary date of'the pernni. an operaarr <br />shall suhnnt the annual fie, a relwrt and map ,hawing (he cstent oC current d;sturhnnecs to aficcted land. <br />rc•clamuliun accumpheheJ to dmr and dunng the prccedmg year. new di+lurbanrc; That arc anlicgi;dcd lu occur <br />durine the upconnng year, reclnmahon that will he pcrli+rtncd During thr taming year, thr date. ti+r the hegmmng <br />nl actnc oper;dions, and thr d:uc acu~c opcrauons .c;t.cd for the year. ;(,tnv. <br />hlnuu.• •.afvrh ~~m+r rncicrd ~c rHfrn annual rrnurr :uul s1n111B11 rcnll rt n111n 111 11115 {/Ir11L I'ledsr.' NUIt' lhdt J71 <br />uderprutrh labeled raup drat clrurlt• delinenrev and inchule.~• rhr uhnre elenrentc nrrn suflireJor n x•riuerr report. <br />Ihvrsiun record. utdtcate the tirllowrng pennittec contact mfomtation. Flease verify and make any necessary <br />changes: <br />I'crnutice l'ontacL Joseph (. Wehe <br />I'crnuttcc Name: Sununu I'resscd Brick & Tle (b. <br />Puehlu.('O l;IUO?•USt3 <br />Phone Number. 1719) 542-8278 <br />Pay Number: (71c)- 542-5243 <br />II' you have additional comment. and;itr infixmation that should be pnn idcd (o the IAvtsion. pleas provtdc it <br />below or alluch it u+ Ibis li+rm along w ith your wntlcn report ;md map. Annual Itcport instructions arc enclosed. <br />1 ~ ~ ~~~ ~ ~;r'-~,{' <br />Si a(u • of ('orpurnte Otticcr. Uw~icr, ur I)csignce <br />I)atc <br />