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<br />ANNUAL REPORT <br />PERMITTEE NAME: The Denver Brick Company <br />PERMTI' NO.: M-1977-392 <br />OPERATION NAME: Dawson Mine <br />ANNNERSARY DATE: March 11, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Elbert <br />~ iii iiiiiiiiuiii iii <br />t~~ <br />~.:,:,it Gel k~,', <br />RECEIVED <br />MAR 13 2000 <br />pihsion of Minetais & Georo9Y <br />According io C.R:S. 34-32-1 lb(3)(a}, each -year,,-on the arniversaq~ date of the germ~t, 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 year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming yeaz, 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 resort to this annual report. Please <br />mote that an adequately labeled map that clearly delineates and inchides the above elements may <br />suffice for a written report. ~ <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Y'"Gt. n e ~ P e~ eG Company: >C~~r? ,ier ~Y~Gr~ <br />Address: 1®O QoX /SOD PhoneNo.: (~D3 ) ~if~6-6 9-s~ <br />C~'r37~~ ~iOG ~. ~~. !~a/Df` FAXNo.:(30~ ) 6~' S-o270 <br />If there are additional comments and/or information that should be provided to [he Division, please <br />provide it on a separate sheet and attach it to this report fotm along with your map and/or written <br />report. <br />~lls~,t.Ci~i~t/n~- <br />Signat e of Corpora e Officer, or Owner <br />~~/-o~o v <br />Date <br />INSTRUCTIONS ON BACK <br />M:WERMfM1A5TERD000MENTSNI-AF~01 <br />