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J?_ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Continental Materials Corporation <br />PERMIT NO.: ,/M-1986-015 <br />OPERATION NAME: Pueblo East Pit <br />ANNIVERSARY DATE: November 12, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Pueblo <br />W <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-lie beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report may to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: A,sW"_ <br />n? A r 1< K L y /vE <br />Permittee Name: <br />Address <br />Phone Number: <br />Fax Number: <br />Continental Materials Corporation <br />444 E. Costilla <br />Colorado Springs, CO 80903 <br />(719) 227-2025 <br />(719) 475-0226 <br />aZ) -7I 9- =116 - &6 c W <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 />Cam- K VP _)7 Signa re of Corporate Officer, Owner, or Designee <br />Date <br />L AV 12 M8 <br />D41fision 01 y- me,;Ialriailorr, <br />`` _J tfining and Safet$r