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<br />~tr~ <br />fj ANNiiAi. FF.F, and RF.PnRT RFt1iiF.ST <br />RECEIVED <br />"~ MAY 1 5 2006 <br />d Division of Minerals and Geology <br />.,i*. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />f% Duckels Construction, Inc. dba Yampa Aggregates <br />/M-1992-066 <br />Hogue/River Pit <br />April 12, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Routt <br />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 ' <br />---shall-submit-the-annual-fee,-a-report-and-map-showing-the-extent-of-current-disturbances-to-af€ected-land; <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur I <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 attach your revised written anm~al rpmnrt and annual report man 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Fred A. Duckels <br />Permittee Name: Duckels Construction, Inc. dba Yampa Aggregates <br />Address: 3500 Duckels Ct. <br />Steamboat Springs, CO 80487 <br />Phone Number: (970) 879-6072 <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. Annua] Report instructions are enclosed. <br />~~0~~~~ <br />Signature o~ipora a icer, Owner, or Designee <br />Date <br />