2003-09-12_REPORT - M1979166

• Permit No: M1979166
• IBM Index Class Name: Report
• Doc Date: 9/12/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEIVED '~ ~~~
SEP 12 2003
DFricion ~f Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Elam Construction, Inc.
M-1979-166
Bennett's Gravel Pit
September 4, 2003
$688.00 (Due on or before your anniversary date)
Delta
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-tl~e-anr,u~'-fee-a-report-aad-map-showing-tlie- extent-af-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 annual report and annual rennrt m to this form. Please note that an
adequately labeled map that clearly delineates and includes 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 provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
Harold F. Elam, President
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Date
M:~PERMITMASTERDOCl1MEM5Qv7-AF-01