2006-05-15_REPORT - M1976051

• Permit No: M1976051
• IBM Index Class Name: Report
• Doc Date: 5/15/2006
• Doc Name: Annual Fee/Report/Map
• From: Duckels Construction Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ ANNiiAi, FF.F. and REPORT RF.Oi1F.RT
/Duckels Construction, Inc.
/ M-1976-051
Bettger Gravel Pit
May 8, 2006
RECEIVED
MAY i 5 2006
~ivision of iAinerals an6 Geology
$688.00 (Due on or before your anniversary date)
Routt
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, 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,
'^ ieclamahon accomplished to date a-]nc during'the preceding year, new distni~bances tliat ar'e anficip'ated-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 annual re~rt and anneal re nn rt m,gp to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Fred A. Duckels
Permittee Name: Duckels Construction, Inc.
Address: 3500 Duckels Ct.
Steamboat Springs, CO 80487
Phone Number: [phone]
Fax Number: [phone]
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.
gna a of Corpora e Of r, Owner, or Designee
Date