2001-03-15_REPORT - M1977392

• Permit No: M1977392
• IBM Index Class Name: Report
• Doc Date: 3/15/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REOUEST
RECEIVED
PERMITTEE NAME: The Denver Brick Company MAR 15 2001
PERMIT NO.: M-1977-392
OPERATION NAME: Dawson Mine Division of Minerals and Geology
ANNIVERSARY DATE: March 11,2001
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Elbert
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 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. Please note that an
adequately labeled nrap 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: Wayne Spence A 1 h Coa n U e o 2 o c• e
Permittee Name: The Denver Brick Company
Address: 401 Prairie Hawk Dr. o J4e- m er. ; >yPc) 4",-a.
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Castle Rock, CO80104 0 7Ae Lrl Idle- .4-CrL f�+ s
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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.
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Signatugnatu e�rarO fticer or Owner
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Date
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