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ANJ FEES' a idiPORT REQUEST <br />PERMITTEE NAME: f? Continental Materials Corporation <br /> <br />PERMIT NO.: /M-1973-007-SG <br />OPERATION NAME: Daniels Sand Pit 2 <br />ANNIVERSARY DATE: January 7, 2009 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: El Paso <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 for the year, if any. <br />Please attach your revised written annual report and annual report man 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 may 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: Ashley K. Bates <br />Permittee Name: Continental Materials Corporation <br />Address: C/o Transit Mix Concrete <br />444 East Costilla <br />Colorado Springs, CO 80903 <br />Phone Number: (719) 227-2025 <br />Fax Number: (719) 475-0226 <br />-719.- 53? -Oa-"s <br />-7 / 9 -548=305 <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 />Owner, or Designee <br />Date <br />RECEIVED <br />AN 21 ZU09 <br />ion of aid 88 uon, <br />MW" and say