2006-10-12_REPORT - M2002111

• Permit No: M2002111
• IBM Index Class Name: Report
• Doc Date: 10/12/2006
• Doc Name: Annual Fee/Report/Map
• From: Elam Construction Inc
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMPTTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
°~ Elam Construction, Iuc.
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RECEIVED
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r/Gilsonite Gravel Pit L~Division of Reclamauon,
October 21, 2006 Mining and Safety
$688.00 (Due on or before your anniversary date)
Mesa
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
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
Leclamation accprnplishedln rtarr a*+d duringrYhe_preceding-year,-ne~v-disturbances-that- are anticipated-tmoccur - -
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbapces or reclamation have occurred durine the previous year and no new changes to
the previous year's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may since for a written report.
Division records indicate the following permittee contact information. Please verity and make any necessary
changes:
Permittee Contact: Harold F. Elam
Permittee Name: Elam Construction, Inc.
Address: 1225 S. 7th St.
Grand Junction, CO 81501
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
c„~_~~~~
Sign Corporate Office ,Owner, or Designee
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Date