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/4~~I~f ' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />A~NNTJAi. FF.F. and REPORT RF,OTTF.ST <br />r Co~inental Materials Corporatiou '~ <br />fiM-1986-015 <br />Pueblo East Pit <br />November 12, 2005 <br />$688.00 (Due on or before your anniversary date) <br />Pueblo <br />-- ~n•; <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 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 beginning <br />of active operations, and the date active operations ceased far the year, if any. <br />Please attach xpnr revised written annual rennrt and annual re~nrt mpn to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice 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 />P.O. Box 1030 <br />Colorado Springs, CO 80901-1030 <br />Phone Number: (719) 475-0700 <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. Annua] Report instructions are enclosed. <br />Signature of Corpo e Officer, Owner, or Designee <br />Ib l Y lo~~ <br />Date <br />dm <br />k <br />~!Ot! 0 g 2005 <br />