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~rn~ <br />,/ ANNUAL FEE and REPORT REQUEST <br />PERMTTTEE NAME: / Continental Materials Corporation , ~. <br />PERMIT NO.: ;~M-1977-573 %~FEB ?_ 2 2QA7 <br />OPERATION NAME: Pueblo West Pit /Division of Reclamation, <br />ANNNERSARY DATE: March 22, 2007 fllining and Safety <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Pueblo <br />According to C.R.S. 34-32.5-I 16 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 begiming <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous veer and no new chances to <br />the previous vear's map are necessarv, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Ashley K. Bates <br />Permittee Name: Continental Materials Corporation <br />Address: 444 E. Costilla <br />Colorado Springs, CO 80903 <br />Phone Number: (719) 227-2025 <br />Fax Number: (719) 475A226 <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 />Signa-~~ fficer, Owner, or Designee <br />~~l~ /~7 <br />Date <br />