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.^ i?l <br /> r <br /> <br />r. <br />O <br />r <br /> FEE AN AL an PORT REQUEST <br /> ^ <br />PERMITTEE NAME: Summit Pressed Brick & Tile Co. <br />P1 <br />PERMIT NO.: ),/M-1993-080 <br />OPERATION NAME: Calhan Clay Pit <br />ANNIVERSARY DATE: April 26, 2010 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: El Paso <br />d? <br />ixl A_- <br />b//APR 3 0 2010. <br />_/1_ n ?1r[1 fit i-imci;ow. on, <br />Mfnft srid Suety <br />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 <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach Your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous Year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joseph C. Welte <br />Permittee Name: <br />Address <br />Phone Number <br />Fax Number: <br />Summit Pressed Brick & Tile Co. <br />P.O. Box 533 <br />Pueblo, CO 81002-0533 <br />(719) 542-8278 <br />(719) 542-5243 <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />vg? eu?j <br />Sin re f Corpo to Officer, Owner, or Designee <br />26 ?? v <br />Date <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed.