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r~,^,~, ,. r III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: The Denver Brick Company <br />PERMIT NO.: M-1989-052 <br />OPERATION NAME: Dakota Clay Pit <br />ANNNERSARY DATE: October 25, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Jefferson <br />~.~ a~~~s <br />~~,~~ <br />RECEIVE® <br />CST 3 01000 <br />Division of Minerals and Ceolagy <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, an operator shall <br />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 yeaz, new disturbances that are anticipated <br />to occur during the upcoming yeaz, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map that clearly delineates and includes the above elements may <br />since for a written report. J ~ ,,/ / " <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: N ~- .z c- So e n c L <br />Address: ~' P't •'n r' ~~ ~ ~~ CEl , <br />~l`O / ri G <br />~- <br />rR / <br />~ ~~r. <br />t~ cC rvri /e <br /> // <br />yy~~ <br />l <br />/ l! <br /> <br /> <br />Company: ~ P~ivrr /~> ~ a~ L.~o <br />Phone No.: (3y3) E~ ~/~ ~ ~~~ <br />FAX No.: (3d 3 1 ~ ~~'.S,Z 7U <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~~ ~ ,rte ~~''/,2 7~n v <br />hrntr • <br />Signature of Corporate Offi er, or Owner Date <br />INSTRUCTIONS ON BACK <br />M: WERMfIV.7ASTERD000MEM.SV.7-AF-01 <br />