2008-01-02_REPORT - M1996064 - Laserfiche WebLink

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„~ ~A~ ~ R PY ANNUAL FEE and REPORT REOiTEST RECsEIVED PERMITTEE NAME: The Denver Brick Company ~ SAN 0 ~ 2000 ~ PERMIT NO.: M-1996-064 ,~ Division o~ Reclamation, Mining and Safety OPERATION NAME: Stevens Gle~e:es+e ~ '~ ~~ ANNIVERSARY DATE: December 23, 2007 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) COUNTY: Douglas 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 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 tha~will be performedzlurrig the coming-years the-dates fOr the-beginning of active operations, and the date active operations ceased for the year, if any. i Please attach vour revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous near and no new changes to this in the Annual Report. 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: A~l~leten ~r ~~~ '(+ b6e t~s Permittee Name: Address: Phone Number: (303) 688-6951 ~/ Fax Number: ~~~ '' ~ ~ ~~ ~ I If you have additional comments and/or information that should be provided to the Division; please provide it below or The Denver Brick Company i 401 Prairie Hawk Dr. Castle Rock, CO ~9~84 it to this form along with your written report and map. Annual Report instructions are enclosed. i !~ ~~ Signature gf`~orporate Officer, Owner, or Designee Date