2017-08-08_REPORT - M1983132

• Permit No: M1983132
• IBM Index Class Name: REPORT
• Doc Date: 8/8/2017
• Doc Name: Annual Fee/Report/Map
• From: DeWitt Excavating, Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: AME
• Media Type: D
• Archive: No

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Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have
information on record). If this information is blank or not current,please type or print current contact information:
Permittee Contact: Dustin DeWitt
Permittee Company: DeWitt Excavating, Inc.
Address: 7395 U.S. Hwy. 50
Lamar,CO 81052
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Terry Dewitt
Company: DeWitt Excavating, Inc.
Address: 7395 U.S. Hwy. 50 W.
Lamar, CO 81052
•
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: Terry Dewitt
Company: DeWitt Excavating,Inc.
Address: 7395 U.S.Hwy. 50 W.
Lamar, CO 81052
Phone Number: [phone]
Fax Number:
Email Address:
I,the undersigned, hereby state tl at the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
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Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date
M-AF-01