2010-01-08_REPORT - M1973007SG - Laserfiche WebLink

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hm1?? ANl`QUAL FEE aMd ORT REQUEST JAN PERM ITTEE NAME: ,Continental Materials Corporation Division pt Reel PERMIT NO.: ?/M-1973-007-SG OPERATION NAME: Daniels Sand Pit 2 ANNIVERSARY DATE: January 7, 2010 ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) COUNTY: El Paso 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 op shall submit the annual fee, a report and map showing the extent of current disturbances to affected reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to dui-mgthe upcorriing year,-recla`matiori that will-be performed- wring the -coming=year;-the-dates-for-the-beg of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report map to this form. The Annual ReF & Fee requirement is not met until we have received the following components: fee, report, and associa map. If no new disturbances or reclamation have occurred during the previous year and no new change the previous year's map are necessary, then no new map is required, provided that the Operator shall si this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any nece changes: Permittee Contact: Mac Shafer Permittee Name: Continental Materials Corporation Address: C/o Transit Mix Concrete 444 East Costilla - - Colorado Springs, CO 80903 Phone Number: (719) 598-0215 Fax Number: (719) 598-3053 If you have additional comments and/or information that should be provided to the Division, please provid below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of Corpora fficer, owner, or Designee Date it