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~_ ~ <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Continental Materials Corporation <br />M-1973-007-SG <br />Daniels Sand Pit 2 <br />January 7, 2004 <br />JAN 0 6 2004 <br />Givision of Minerals & Gaofopy <br />$688.00 (Due on or before your anniversary date) <br />EI Paso <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 distuitiances tfiai are anficipate~ 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 ynnr revised written annual rennrt and annnal report man to this form. Please note that an <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: 'aia:I~icc' ~cr <br />Permittee Name: Continental Materials Corporation <br />Address: a <br />Phone Number: '(3~4'i-9200-~ ~a~C !' <br />Fax Number: e~'~- <br />~J ~~1~~ <br />L~RL, ~\ HSTt1W S~c~ <br />o~ 149TH Co g6~3 <br />`11~- X33 -_~~c,~~-©~- <br />- --4' - ~ CJ l ~~J - <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 />Secr~- ar <br />Signature of orporate Officer, Owner, or Desig ee <br />Date ~~ <br />M:\PERMINNASTERDOCUMENTSU1-AF-01 <br />