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~-~-- <br /> <br />ANNUAL FEE DUE ON AeNNIVERSARY DATE: $SSO.OQ;,vAP °`M\~~~s&G` <br />ANNUAL REPORT ~t,~ <br />PERMITTEE NAME: Elam Construction Inc * ~/ T ~~ ~~ <br />PERMIT NO.: M-91-079 ^~G~\VED <br />OPERATION NAME: Mule Farm Gravel Pit 19 ~g99 <br />R <br />COUNTY: Mesa <br />Please attach to this annual report your revised annual report map and written report. Note that a written <br />report is nol necessary if the map addresses all the items listed in the attached instructions <br />concernine inininA disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instructions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />J`~ UPDATE;D MAP ATTACHED <br />^ CONDIT[ONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: /l <br />Contact Name: ~ ~qS A LoGUc Company: ~GA•v1 C,oNfi7CrKT10n1~ ~/G . <br />Address::L2S so- 9'~ S~>'e~ Phone No.: (970) aft -53~U <br />ono/ r~c~ G0. 8/SGT Fax No.: (970 )2¢S- 7l/S <br />Comments:: <br />~f fC'S, degT <br />t' <br />Signature of Corporate Ofticer, or Owner <br />M'~llNRMLUTASTER~N1-AF-01 <br />~y~~~ ~S <br />Date <br />