2004-04-05_REPORT - M2002119

• Permit No: M2002119
• IBM Index Class Name: Report
• Doc Date: 4/5/2004
• Doc Name: Annual Fee/Report/Map
• From: Elam Construction Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Elam Construction, Inc.
M-2002-119
Fetcher/Vale Pit
Apri14, 2004
$688.00 (Due on or before your anniversary date)
Routt
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
-- s1~a11 subm~i the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
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 ynnr revised written anneal repnH and anneal re rrn t man to this form. Please note that an
adequately labeled map that clearly delineates and incdudes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify 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
below or attach it to this form along with your written report and map.
~-%~~
Signature of Corporate Offccer, Owner, or Designee
Harold F. Elam, President
~dr ..Z ..L oc'H
Date
provided to the Division, please provide it
Annual Report instructions are enclosed.