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,;, ~~~1 IIIIIIIIIIIIIIIIIII <br />ANNUAL KEP[1K'1' <br />PERMITTEE NAME: Dewitt Excavating I ~r(,G. <br />PERMIT NO.: M-1983-132 <br />OPERATION NAME: Dewitt Excavating <br />ANNNERSARY DATE: July 29, 2000 ~' ~ J <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $3~0 <br />COUNTY: Prowers <br />RFC <br />JU FjVFO <br />~z4 <br />Q M~aera/S and Cep%9y <br />/~` 1 D ~i..l ~ <br />fI-S D~ V c~~~yl <br />c <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />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 <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that nu ndeyuntely lnbe(ed map that clearly de(inentes and includes the above elements may <br />suffice for n written report. <br />Please type or print the current contact person's name, <br />provided: <br />z~oR~--t- <br />Contact Name: l e r ~ N ne L.(_)~i <br />Address; x1.39 S Ll • S ~ F~wU S ~ <br />1~0.mAr. CD 810 5~ <br />mailing address, and phone number in the space <br />Company: lJ~I,U ~ ~ ~ .CX CQ VCLf~9~ ynC <br /> <br />FAXNo.: (719 ) ,331n- 8150 <br />e-mail: C~[wifftriCraria.r~+ <br />If there are additional comments and/or information that should be provided to [he Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~~= ~ ~ o~ <br />of Corporate Officer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />A7.7PE R M I"M1 AST ER DOC U M E NTS V.f - AF-01 <br />