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SS.~ <br />RE'CEI,I~D <br />FEB 131006 <br />Givisioo „t mtinerals and Ceola9Y <br />PERMITTEE NAME: Elam Construction, Inc. <br />PERMIT NO.: M-1980-085 <br />OPERATION NAME: Vagneur Site <br />ANNIVERSARY DATE: February 17, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Pitlcin <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 />s a su mt he annua ee, a repo art-nd map showing [I-ie extent of-cdn=ent-d~siurbances to ~'fectea"lan~-- <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 ym~r revised written anneal rep!}rt and anneal re nr~ t man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Harold F. Elam <br />Permittee Name: Elam Construction, Inc. <br />Address: 1225 S. 7th St. <br />Phone Number: <br />Fax Number: <br />Grand Junction, CO 81501 <br />(970) 242-5370 <br />(970)245-7716 <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 />Signat f Corporate O tcer, Owner, or Designee <br />~-i7- a6 <br />Date <br />