Laserfiche WebLink
<br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />The Denver Brick Company <br />M-1977-392 <br />Dawson Mine <br />March 11, 2003 <br />MAR 13.1003 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />- COUNTYr - - - Elbert - - - - - - <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 XQyr revised written anneal report and anneal rennrt main to this form. Please note that on <br />adequately labeled map that clearly delineates and includes the 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: i--ili;~i~ , <br />Permittee Name: The Denver Brick Company <br />Address: 401 Prairie Hawk Dr. <br />Castle Rock, CO 80104 <br />Phone Ntunber; (303) 688-6951 <br />Fax Number: (303) 688-5270 <br /> <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporafe Officer, Owner, or Designee <br />3-~~-d3 <br />Dale <br />M:~PERMITVNASTEAD000MEMSVN-AF-01 <br />