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:~ <br />.., ,. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ <br />ANNUAL FEE and REPORT REOUEST§~~^cl~f~~ <br />Elam Construction, Inc. <br />M•1980-085 <br />Vagneur Site <br />February 17, 2002 <br />FEB 2 0 2v`•'- <br />i,vision of M1ABtats oa" Gaol°9Y <br />$688.00 (Due on or before your anniversary date) <br />Pitkin <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator <br />shall suhmit the annual -fee, a report and- map showing the extent of cuttent 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. Please note that art <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following pernti[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Thomas A- Logue <br />Permittee Name: Elam Construction, Inc. <br />Address: 1225 S. 7th St. <br />Grand Junction, CO 81501 <br />Phone Number: (970) 242-5370 <br />Fax Number: (970) 245-7716 <br />If you have additional comments and/or information [hat should be provided [o 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 />r J~ <br />Signature of ~ ^`~~e~e- <br />A~ha. ,Lf yens'- - - _ <br />OZ~/8/o2 <br />Date - <br />M 1PERMITNI ASTERDOCUM ENTSU4-AF-01 <br />