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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANAL FEE nd S VEST <br />0 <br />C ntinental Materials Corporation <br />v M-1977-211 <br />Pikeview Quarry <br />RECEIM <br />JUN 15 2011 <br />Division oi nec4anmak*4 <br />Mining and $d* <br />May 27, 2011 <br />$$791.00 (Due on or before your anniversary date) <br />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 />_- ocs?r----- - <br />reclamation accom?fi hshod-tic date--and- during the preceding year e di sturbancec that are: -anticipated to, <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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Andre Laroche <br />Permittee Name: Continental Materials Corporation <br />Address: 444 E. Costilla <br />Colorado Springs, CO 80903 <br />Phone Number: (719) 475-0700 <br />Fax Number: (719) 475-0226 <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 />i -'Est <br />1 4 9 9 <br />Signat a of Xre ce r, O ner, or Designee <br />c$ <br />Date <br />OK <br />bz" k <br />VENDOR # - <br />DUE DATE DISC. AMT_ <br />APPCZnVr. 7.:= y <br />