2006-07-24_REPORT - M1983132 - Laserfiche WebLink

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~ p„1,~ ANNiiAi. FF.F, and REPORT RF.t7iiF.ST PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: Dewitt Excavating /M-1983-132 Dewitt Excavating July 29, 2006 RECEIVED ~ JUL 24 2006 van o4 ffie;e: ;...:..:.. .a' $281.00 (Due on or before your anniversary date) Prowers According to_C.R.S..34-32.5-116 or_C.R.S._3.4-32-11.6, 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 anticipated 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 ynnr revised written anneal rennrt and anm~al re~nrt m ~n to thic form. The Annual Report & Fee requirement is not met until we have received the following 3 components: fee~ennrt, and assnctated maR (All 3 are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written resort. ~ '- Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Terry Dewitt Permittee Name: Dewitt Excavating Address: 7395 U.S. Hwy. 50 W. Lamar, CO 81052 Phone Number: (719) 336-4455 Fax Number: (719) 336-8150 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. ~, Sign lure o orp rate fficer, Owner, or De gnee Date