2005-06-24_REPORT - M1999004

• Permit No: M1999004
• IBM Index Class Name: Report
• Doc Date: 6/24/2005
• Doc Name: Annual Fee/Report/Map
• From: continental materials corporation
• To: dmg
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Continental Materials Corporation
M-1999-004
Table Mountain Quarry
June 25, 2005
$688.00 (Due on or before your anniversary date)
Fremont
JUN 2 4 2005
Division o; fi:;;~;,;rs & Geology
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
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 to 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 yrnnr revised written annnal rennrt and annnal red nrt man to this form. 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: Pete Melcher
Permittee Name: Continental Materials Corporation
Address: 444 E. Costilla
Colorado Springs, CO 80903
Phone Number: [phone]
Fax Number: [phone]
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. Annua] Report instructions are enclosed.
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Signature of Corporate Officer, Owner, or Designee
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Date