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~ III IIIIIIIIIIIII III ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Duckels Construction, Inc. <br />PERMIT NO.: M-76-051 <br />OPERATION NAME: Bettger Gravel Pit <br />ANNIVERSARY DATE: May OS, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Routt <br />~!~ <br />~~ C7 <br />RF_CEIVEC ~ ~, <br />MAY 0 6 1999 `~,~ <br />at ~.'~irerats d Geology <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <br />report to this annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concerning mining disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name:~f~ ~~I~~S <br />Address:: ~SOO \,l_c~~ CouC~1 <br />7 <br />Company: ~~f~NS ~OVI~~i~f~c?C <br />Phone No.: (g7r7) ~ lam/" ~>7 <br />Far No.:~ ~~ 1 ~~ "67y~ <br />~~~ <br />Signature of Corporate Officer, or Owner <br />;rJ 9% <br />Date <br />INSTRUCTIONS ON BACK <br />M:~DNRM L~htA STE RDU1-AF-01. <br />