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.F, ; <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Duckels Construction, Inc. <br />M-1476-051 <br />Bettger Gravel Pit <br />May 8, 2002 <br />~~ <br />RECEp1/Ep <br />JUN 1 0 2001 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Routt <br />According to C.R.S. 34-32.5-] ] 6 or C.R.S. 34-32-] 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing'the~exten[ of current isturbances to affected land,-- ~ ~- <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attachour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permit[ee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Linda F. Dibble <br />Permittee Name: Duckels Construction, Inc. <br />Address: 3500 Duckels Ct. <br /> Steamboat Springs, CO 80487 <br />Phone Number: (970) 879-6072 <br />-_ - - _ ~ _ <br />_ Fax Number: (970) 879-6748 <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 />S gnatu Co o ate Officer r Owner <br />r'o~7 f'oZ <br />Date <br />M:NERMITMASTERD000M ENTS~hI-AF-OI <br />