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~<<~~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: f~E <br />lam Construction, Inc. ~ ~ ~ r, 1 r ~ ~ ^.1 <br /> / <br />PERMIT NO.: /~M-1980-085 j~F~i~ ~ ~ Zi;l~7 <br />OPERATION NAME: Vagueur Site ~, „ „ .: . iron, <br />~ <br /> ~.~, ..._~ .;y <br />ANNNERSARY DATE: February 17, 2007 <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Pitkin <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <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 your revised written annual report and annual report maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred durinti the previous vear and no new chanties to <br />the previous year's map are necessary. then no new mau is required, arovided that the Oaerator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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 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 />Signa of Corporate icer, Owner, or Designee <br />Date <br />