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<br />1 ~ / <br />•^ ANN~F~E and REPORT REQUEST <br />PERMITTEE NAME: -Duckels Construction, Inc. dba Yampa Aggregates <br />PERMIT NO.: /iGI-1992-066 bst',~~ ~ ~ A'~ <br />OPERATION NAME: Hogue/Rtver Pit - /~~R <br />ANNNERSARY DATE: April 12, 2007 ,~ Divisio ' 2?0~j <br />n °t R"cla <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date)~~°~o9andSafety°n, <br />COUNTY: 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 affected land, <br />_ _ reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />'during the upcorning year; reclamation that-will-be per€ormed-during_the_coming_year, the $at_e_s for t_he_begin_ ning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new mau is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates artd includes the <br />above elements may since 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. Annual Report instructions are enclosed. <br />Sign lure of Corporate Officer, Owner, or Designee <br />-~- t~ 1 <br />Date <br />