2003-01-24_REPORT - M1980245

• Permit No: M1980245
• IBM Index Class Name: Report
• Doc Date: 1/24/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
JAN 2 4 2003
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Robinson Brick Company
M-1980-245
Hogback Mine
February 10,2003
$688.00 (Due on or before your anniversary date)
Douglas
Division of Minerals and Geology
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 summit-the annuat-fee,- a'reporY and' map-showing the-extent-of-current-disturbances-to-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 ynnr revised wriftrn annnal rennrt and annnal report main to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
• Permittee Contact: Michael G. Leidich
Permittee Name: Robinson Brick Company
Address: 1845 W. Dartmouth Ave.
Denver, CO 80110-1308

Phone Number: [phone] `rp ~_ ~~3 - ~~~
Fax Number: [phone] ~,r,~7ry,~ - 2gctz
If you have additional comments and/or information that 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.
Signature of Corporate Officer, Owner, or Designee
Date
M:~PERM17U1ASTERDOCUMENTSU4-AF-01