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<br />~/ <br /> <br />SEP 0 7 2004 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Precision Excavating, Inc. <br />M-2001-023 <br />Camilletti Milner Pit #2 <br />August 1, 2004 <br />$688.00 (Due on or before your auniversary date) <br />Routt <br />Dicisioa of R"in:;:aie & Geolapy <br />According to C.R.S. 34-32.5-I-16 or C:R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during [he preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, [he dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ymrr revised written anneal rennet and anmral re net maP to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David S. Zehner <br />Permittee Name: Precision Excavating, Inc. <br />Address: P.O. Box 790 <br />Hayden, CO 81639 <br />Phone Number: (970) 276-3359 <br />Fax Number: (970) 276-3084 <br />If you have additional comments and/or information that should be provided 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 />~~ <br />Signature of Corporat fficer, Owner, or Designee <br />30 „~teC7 l/ <br />Date <br />