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<br />r <br />ANN ffAFEE and REPO T REQUEST <br />PERMITTEE NAME: Continental Materials Corporation <br />PERMIT NO.: A-1977-376 <br />SEP 2 Zhu <br />OPERATION NAME: Canyon Dolomite Quarry <br />ANNIVERSARY DATE: September 22, 2010 h1riM and ` ofety ' <br />P,Iirung end :?at <br />ANNUAL FEE DUE.: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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, rec ama ion a wi e perrorrned-duringthe-coating year,-the dates for-thc 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 vear's man are necessarv. 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: Mu4@- e <br />/UJ)14?6 L4900414* <br />Pennittee Name: Continental Materials Corporation <br />Address: 444 E. Costilla <br />Colorado Springs, CO 80803 - <br />Phone Number: (-;19) <br />Fax Number: (719) 475-0226 <br />7/Q-47s- 17 00 <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 />S <br />?/ zo <br />or Designee <br />Date