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ANN AL FEE ?wnd REPORT RE UEST <br />PER 41TTEE NAME: ntinental Materials Corporation c/o Transit <br />PERMIT NO.: " M-1984-008 <br />OPERATION NAME: Barnhart Pit <br />-)i -';N Jil f <br />VPIAY 0 2c to <br />ANNIVERSARY DATE: May 9, 2010 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) ®iviSion of Reclarnai`cr:y <br />Imo, ?,? e lama <br />COUNTY: Pueblo <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 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 veri and-make any necessary` - <br />changes: <br />Permittee Contact: Mark Khme <br />Permittee Name: Continental Materials Corporation c/o Transit Mix of Pueblo <br />Address: 2-596 W*Uj,. 96 T444 6-` GD Ste! f ` ? <br />do Ftq& 3 <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 />C-"V -A ' 4490- <br />Sign re of Corporate Officer, Owner, or Designee <br />by-I? <br />Date <br /> <br />Mix of Pueblo