2006-03-20_REPORT - M1991003

• Permit No: M1991003
• IBM Index Class Name: Report
• Doc Date: 3/20/2006
• Doc Name: Annual Fee/Report/Map
• From: Robinson Brick Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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v AlY1VITAi, FF,F, and RF.PZ7RT RF( ij TEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
CO[JN'I'Y:
,/ Robinson Brick Company
;~M-1991-003
Tomahawk Mine
April 26, 2006
$688.00 (Due on or before your anniversary date)
Pueblo
RECEIVED
`~ MAR 2 0 2006
~DIvIBIon ~f Minerals and Ceelosy
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 submit_the_annual_fee,_a_report_andlnap_showing_the_extent of_cuuentdistwbances.to_affected_]and,-__
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 written annual report and annual rgpnrt m ~n 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: Marvin R. (Ric) Myers, Jr.
Permittee Name: Robinson Brick Company
Address: 1845 W. Dartmouth Ave.
Denver, CO 801 10-1 308
Phone Number: [phone]
Fax Number: [phone]
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