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~~ <br />~fr~~'~ <br />/ RED`°~/ED <br />PERMITTEE NAME: v Continental Materials Corporation ,~05 <br />PERMITNO.: t/IGI-1977-376 ~~E~ ~ ~ ~ <br />OPERATION NAME: Canyon Dolomite Quarry f~6iyiSion ~t ~~~~~rals and Geolo~Y <br />ANNIVERSARY DATE: September 22, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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-animal-fce-a--repart-and-tria~slsowtng the extenf of current ~stur ances 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 beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anm~al re~nrt and anneal report maT to this form- Please note [hat an <br />adequately labeled map that cdearly delineates and includes the 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: Pete Melcher <br />Permittee Name: Continental Materials Corporation <br />Address: 444 E. Costilla <br /> Colorado Springs, CO 80803 <br />-._-P_hon.,~T Tumber:- ~~ 19}45-0700 - - -- --- - -- <br />Fax Number: (719) 633-2607 <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 />Signature of C rporate Officer, Owner, or Designee <br />9- .ZO - o S- <br />Date <br />