2008-04-25_REPORT - M1993080

• Permit No: M1993080
• IBM Index Class Name: REPORT
• Doc Date: 4/25/2008
• Doc Name: Annual Fee/Report/Map
• From: Summit Pressed Brick & Tile
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: BMK
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: 'Summit Pressed Brick & Tile Co.
PERMIT NO.: vM-1993-080
OPERATION NAME: Calhan Clay Pit
ANNIVERSARY DATE: Apri126, 2008
ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date)
COUNTY: El Paso
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APR 2 g 200
~riision of Reclamation;
,'~lning and Safetl
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, reclam'atiori 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 your 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 year and no new changes to
the previous year's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. 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 contact information. Please verify and make any necessary
changes:
Permittee Contact: Joseph C. Welte
Permittee Name: Summit Pressed 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 it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.

of Corpgrate Officer, Owner, or Designee

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