Laserfiche WebLink
r <br /> <br />PERMITTEE NAME <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />Continental Materials Corporation <br />M-2001-005 <br />Grisenti Farms Gravel Pit <br />May 23, 2009 <br />$$791.00 (Due on or before your anniversary date) <br />Fremont <br />h/ k_ <br />VWICF.WW <br />MAY 21 2009 <br />Division of REccL2m0" * , <br />Hieing and 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 />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />A (2 r LUNL. _ 4-10y Permittee Name: Conti ental Materials Corporation q6 / T an S I 1 / / 6e b/o <br />Address: ° 44E. -&st ,?a CpS? <br />as"?ro /b? W ?6 c , a e 6/(j Cold r4PJ 6 POO 01- <br />Phone Number: (?1?) 2'' ^!"` 719-d-Y6 4Ja3 CEO-, <br />Fax Number: (q!9) 445 0;2,6 -1/f- 66 -a -13 <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 />(A 9 <br />Date <br />CvAQ V A.t ?. >? '/ <br />Signatu a of Corporate Officer, Owner, or Designee A A <br />0X_ <br />