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23-AUG-2005 11:46 TROY-Colorado Division of Mlineral~ i G~olo7y (13036326106 T-100 ~ 702 F-845 <br />---~v <br />;~:~w~ ~ ~ ~ f d o <br />AUG 2 6 2005 ~1, ~ ~ i <br />7rvision of Minerals and Geology ATTIVTIAi, FF,)` ynd RFPf1RT RFOliF.ST <br />PERMITTEE NAME: Dewitt Excavating ~y'av~ <br />PERMIT NO.: t1~1-1983-132 <br />OYERATION NAMfi: Dewitt Excavating <br />ANNIVERSARY DATE: July 29, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Prowers <br />According to C.R.S. 34-32.5-] Ib or C.RS. 34-32-1 lb, each year, on the anniversary date of the perntit, an operator <br />shall submit the atmual 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 />doting the upcoming year, reclamation that will be performed during the coming ycaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please alfaoh ~m,r rrvised written anneal rennrr anA anm~al rennrY men to this form- Please npfr that are <br />adequately labeled map that clearly delirseates and inclades the above elements may sn~cejor a wriaen report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary . <br />changes: <br />Petnuttee Contact: Terry Dewin <br />Permittee Name: Dewitt Excavating <br />Address: 7395 U.S. Hwy. 50 W. <br />Lamar, CO 81052 <br />Phone Number: (719) 336455 <br />Fax Number: (719) 336-8130 <br />If you have additional cotttments and/or information that should be paovided 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 />Date ~/ <br />tt P^ <br />""?S_-• <br /> <br /> <br />