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~° - <br />- "~ RECEtVE® <br />ANNTiAT. FF.F, and REPORT RF.nTiF.ST MAY 1 g 20p5 <br />- . Division ot_Minerais and Geology <br />PERMITTEE NAME: Duckels Construction, Inc. dba Yampa Aggregates - <br />PERMIT NO.: M-1992-066 <br />OPERATION NAME: Hogue/River Pit <br />ANNNERSARY DATE: April 12, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <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 />rec ama ion accomp ~s e t-~o~ate a~auring the preceding year, new' isturbances 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 attach ym~r revised written annnal rennrt and annnal rennrt 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: <br />- - -Phone Number: <br />Fax Number: <br />3500 Duckels Ct. <br />Steamboat Springs, CO 80487 <br />(970)879-6072 <br />(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 />Sigtfatur of Corporate O icer, Owner, or Designee <br />-~F-:~.=. v ~ <br />Date <br />