REP50163

• Permit No: M1997007
• IBM Index Class Name: Report
• Doc Date: 2/19/2002
• Doc Name: 2002 Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
The Denver Brick Company
M-1997-007
Bijou Clay Mine
February 19, 2002
\I ~~
RECE9VE~~~
FEB 19~ 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Elbert
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I l6, 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 [o 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 report map 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: ~
Permittee Name: The Denver Brick Company
Address: 401 Prairie Hawk Dr.
Castle Rock, CO 80104
Phone Number [phone]
Fax Number [phone]
If you have additional comments and/or information [hat should be provided [o [he Division, please provide it
below or attach it to this form along with your written report and map. Annual Report inswctions are enclosed.
Date
Officer or Owner
M:~PERMnN~IASTERDOCUMENTSUI-AF-01