2017-09-12_REPORT - M1977376

• Permit No: M1977376
• IBM Index Class Name: Report
• Doc Date: 9/12/2017
• Doc Name: Annual Fee/Report/Map
• From: Continental Materials Corp.
• To: DRMS
• Annual Report Year: 2017
• Email Name: TC1
• Email Name: SLB
• Media Type: D
• Archive: No

Page 5 of
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 80803
Phone Number:
[phone] x2048 office
Fax Number:
[phone]
Email Address:
Andre—[e-mail]
Permitting Contact:
Andre Laroche
Company:
Transit Mix Concrete Co.
Address:
444 E. Costilla Street
Colorado Springs, CO 80903
Phone Number:
[phone] cell
719 475-0700 x2048 office
✓
Fax Number:
[phone]
Email Address:
[e-mail]
Inspection Contact:
Andre Laroche
Company:
Transit Mix Concrete Co.
Address:
444 East Costilla Street
Colorado Springs, CO 80903
Phone Number:
[phone] x 0 8 office
(7 19) 491-0288 cell
✓
Fax Number:
[phone]
Email Address:
[e-mail]
1, 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.
09-06-2017
Date