2016-11-16_M1973007SG_Annual Fee Notice ARCHIVE

• Permit No: M1973007SGA
• IBM Index Class Name: Report
• Doc Date: 11/16/2016
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Continental Materials Corporation
• Annual Report Year: 2017
• Media Type: D
• Archive: Yes

Page 5 of 5

Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
information on record). If this information is blank or not current , please type or print current contact information:

Permittee Contact:

Andre Laroche
Permittee Company:

Continental Materials
Corporation

Address:

444 E. Costilla St.
Colorado Springs, CO 80903

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:

Mark Heifner
Company:

Southwestern Ecological
Services

Address:

37 E. Colorado Ave.
Denver, CO 80210-3105

Phone Number:

[phone]
Fax Number: [phone]
Email Address:
Inspection Contact:

Ashley K. Bates
Company:

Transit Mix Concrete
Address:

444 East Costilla Street
Colorado Springs, CO 80903

Phone Number:

[phone]
Fax Number: [phone]
Email Address:

I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.

Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M-AF-01