2006-06-20_REPORT - M1999004

• Permit No: M1999004
• IBM Index Class Name: Report
• Doc Date: 6/20/2006
• Doc Name: Annual Fee/Report/Map
• From: Continental Materials Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

b~li
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNt1Ai. FF.F, and RF.Pi1RT RFOiTFST
C tinental Materials Corporation
M-1999-004
Table Mountain Quarry
June 25, 2006
RECEIVED
~UN ? 0 2006
~aislon of ~n+erals and
Geology
$688.00 (Due on or before your anniversary date)
Fremont
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, 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 accomplishedao-date-and-during-the preceding year;~new'disturbances"thai 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 ynnr revised written anm~al re~nrt and annnal report m ~n to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice 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. Annual Report instructions are enclosed.
Signature of C orate Officer, Owner, or Designee
~o- ~^ D(o
Date