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~,or~ <br /> <br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Elam Construction, Inc. <br />M-1991-079 <br />Mule Farm Gravel Pit <br />February 18,2004 <br />$688.00 (Due on or before your anniversary date) <br />Mesa <br />FEB 19 2004 <br />Division of Minerals & GeoloAY <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 />.~.~__,___ .t ~ cQ~Y, resort and man showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new distur anc~- es ih~ are arRiaipated-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 operafions ceased for the year, if any. <br />PI ace a to )~•mrr revised written anneal re,Pnrf and anneal rennrt m~ 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 />Grand Junction, CO 81501 <br />Phone Number: (970) 242-5370 <br />Fax Number: (970) 245-7716 <br />If you have additional comments andfor 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 />Signature of Corporate Officer, Owner, or Designee <br />Harold F. Elam, President <br />7 Feb. zany <br />Date <br />M:~PERMI7IMASTERD000MENTSM-AFAI <br />