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<br /> <br />At '?' Q, r <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: `/Continental Materials Corporation C'a tPERMIT NO.: / M-1986-015 r <br />tUf'J <br />OPERATION NAME: Pueblo East Pit <br />Division u. <br />ANNIVERSARY DATE: November 12, 2010 / hfirling and vaFZ-t y <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <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-pre-ceding 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 vear's man are necessarv. then no new man 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: - bark-I£ me <br />AW 6R6 L4RO C 1-16 <br />Permittee Name: <br />Address: <br />Continental Materials Corporation <br />1/1/ci C. C®S ra LZ.14 S ' • <br />l'otra9j1J0 SpAlti'dSd co S?? <br />Phone Number: <br />Fax Number: <br /> <br />7/17. l ? S- V I © v <br />71-9` 475--o-Al06 <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 />qS' ture of Corporate Officer, Owner, or Designee <br />/Z-O 2 Z10 <br />Date