2003-01-07_REPORT - M1977252

• Permit No: M1977252
• IBM Index Class Name: Report
• Doc Date: 1/7/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMI'ITEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Robinson Brick Company
M-1977-252
Pioneer Mine
January 13, 2003
RECEIVED
JAN 0 T 2003
Division of Minerals and Cealogy
$688.00 (Due on or before your anniversary date)
Douglas
According to C.R.S. 34-32.5-1 l6 or C.R.S. 34-32-116, 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 to affected land,
rec amatiori accomplished-to-date an`d-during the p7ec"eding year, new disfurbances that are atiticipaied 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 ~nur revised written anmlal report and anmlal re ort m~n 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 con[act information. Please verify and make any necessary
changes:
Permittee Contact: Michael G. Leidich
Permittee Name: .Robinson Brick Company

Address: ] 845 W. Dartmouth Ave.
Englewood, CO 80110 Sr,,c:.P
Phone Number: [phone] ~,3-'1~'~- ~,C`~-1(0
Fax Number: (303) 781-] 818 ^,~~'+.- `7~'i -~' AA 9
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 instmctions are enclosed.
Signature of Corporate Officer, Owner, or Designee
Date
M 1PERMITM ASTERDOCUMENTSVvI-AF-01,