2006-02-21_REPORT - M1977321

• Permit No: M1977321
• IBM Index Class Name: Report
• Doc Date: 2/21/2006
• Doc Name: Annual Fee/Report/Map
• From: Summitt Bruck & Tile Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNP/ERSARY DATE:
ANNUAL FEE DUE;
COUNTY:
(/ANNiiAi. FF.F, and RF.PnRT RF,niTF,ST
t/ /Summit Brick & Tile Co.
M M-1977-321
Native/Pierre Mine
February 17, 2006
~ ~~vFEB 2 1 2006
t/Division of Minerals and Geology
$281.00 (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 pennit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
iec amation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming yeaz, 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 ynnr revised written anm~al repprt and anneal r~nrt m}ip to this form. Please note that an
adequately labeled map that clearly delineates and inclades the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact: Joseph C. Welte
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 the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Si at e of Corporate O rcerfl- Owner, or Designee
~-~l S~~o6
Date