2006-09-05_REPORT - M1977376 - Laserfiche WebLink

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~~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: i/ ANNUAL FEE and REPORT REQUEST ~ ontinental Materials Corporation ~-1977-376 Canyon Dolomite Quarry September 22, 2006 ~S p ~~l ~Ffl ~;~;S;o 5 2QOs Min ~9 a~d Sa ration ry $688.00 (Due on or before your anniversary date) Fremont According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation accomplished to date and during the preceding year,-new disturbances that are anticipated fo occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach vour revised written annual remort and annual report mam to this form. The Anuual Report & Fee requirement is not met until we have received the following components: fee, report, and associated ma (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Permittee Name: Continental Materials Corporation Address: 444 E. Costilla Colorado Springs, CO 80803 Phone Number: (719) 475-0700 Fax Number: (719) 633-2607 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. ~/ Signatur of Corporate Officer, Owner, or Designee C_ .vt a- Jl~ e,~ ~ 9 -/-~~a. Date