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YA <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANI? ffAL FED and REPORT REQUEST <br />//Continental Materials Corporation c/o <br />t? M-1977-573 <br />Pueblo West Pit <br />March 22, 2010 <br />bmk <br />off. <br />Transit Mix of Pueblo <br />$$791.00 (Due on or before your anniversary date) <br />Pueblo <br />RECEIVED <br />AR 0 6" 2010 <br />Division of ReclaMtlolt, <br />?.? Mining & Safety <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 map 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 />^Div`ision- redords indicate -the following permittez c untact information. - Please -verify and make- any -necessary <br />changes: <br />Permittee Contact: Mark Khme <br />Permittee Name: Continental Materials Corporation c/o Transit Mix of Pueblo <br />1-6, East 81004 <br />Address: 250 <br />14 <br />Pueblo, !•n 81 002- h® go 9 03 <br />Phone Number: (719) 240-8023 - <br />Fax Number: (719) 566-0231 <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 />?] 47,17 gv IJ 2 Al.. - V_ <br />Si ture of Corporat Officer, Owner, or De ' nee <br />Date