2008-02-15_REPORT - M1997007

• Permit No: M1997007
• IBM Index Class Name: REPORT
• Doc Date: 2/15/2008
• Doc Name: Annual Fee/Report/Map
• From: The Denver Brick Company
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

PERMTTTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
^~ ~
f
ANNUAL F E and~REPORT REQUEST
iThe Denver Brick Company
/f I-1997-007
Bijou Clay Mine
February 19, 2008

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`~Safe~'o~
$$791.00 (Due on or before your anniversary date)
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 reRort_and map showing -the-e~ctent--mp--carrent- disturbances o affected land,
-- ~ recla~riation accomplished to date and during the preceding-year,-new disturbances that are anticipated fo 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 reuort and annual report mau to this form The Annual Report
& Fee requirement is not met until we have received the following components: fee, reuort, and associated
man. If no new disturbances or reclamation have occurred durin the revious ear and no new chap es to
the urevious year's man are necessary, then no new man is required, provided that the Ouerator shall state
this in the Annual Report Please note that an adequately labeled map 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: t~lk~ert-E-~'~npkt~~o~ c~ ;Ti (,br:~s
Permittee Name: The Denver Brick Company
Address: 401 Prairie Hawk Dr.
Castle Rock, CO 89°i~'~ ~'o l o`i
Phone Number:
Fax Number:
[phone]
[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.
Signature of Corporate Officer, Owner, or Designee
O
Date