2010-03-10_REPORT - M1980085

• Permit No: M1980085
• IBM Index Class Name: REPORT
• Doc Date: 3/10/2010
• Doc Name: Annual Fee/Report/Map
• From: Elam Construction, Inc.
• To: DRMS
• Email Name: GRM
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
Alf-
ANNUA FEE And ORT REQUEST
V?ajm Construction, Inc.
980-085
_? rm
?C?oVED
P9AR 10 2090
OPERATION NAME: Vagneur Site Division of Reclamation, .
ANNIVERSARY DATE: February 17, 2010 46 Mining & Safety
ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date)
COUNTY: Pitkin
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 the annual fee, a report and map showing the extent of current disturbances to affected land,
-------reclamation-accomplished-to date and-during--the-preceding=year,-new-disturbances-that:-are ant-icipated-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 your revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year's map are necessary, then no new map is reauired. Provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Stephen Kaspar
Permittee Name: Elam Construction, Inc.
Address: 556 Struthers Ave
Grand Junction, CO 81501-3826 -
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 orp to- fice , Owner, or Designee
Date