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~_ ~ ~`~z1~'~III111111111111111! <br />v ~$~~3~FS•o~ ;ss <br />ANNUAL REPORT <br />PERMITTEE NAME: Elam Construction, Inc. j;E`.E'V <br />PERMIT NO.: }VI-1979.1664 ED <br />NOV 0 6 10p <br />OPERATION NAME: Bennett's Gravel Pit p <br />ANNNERSARY DATE: September 4, 2000 ~~°ismn o/ ~i~e~als and Ceula <br />9Y <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Delta <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />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 aze anticipated <br />to occur during the upcoming year, reclamation [hat will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written resort to this annual report. Please <br />note that an ndeyuately labeled map that clearly delineates and includes the above elements Wray <br />suffice jor a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name:~ivt [AGC/E <br />Address: (ZLS Sv. 7''y' ~YGe>< <br />G/Ytnd J~f• ~d A /SO / <br />Company: ~AM / cnisrxucT~oiJ~fn/G <br />Phone No.: ( 970) 24L-5370 <br />FAX No.: (47U) Z4S-77/[0 <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide i[ on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />aniaf' ~ v /o~i7 /Gb <br />S~gna/tvre-of~v Date <br />/~i/>"i(o. ~9tnf <br />INSTRUCTIONS ON BACK <br />A7: WERM rM1ASTERD0CUM1t EfJfSNLAF~01 <br />