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<br />~~~ <br />~ ~ <br /> <br /> r <br />PERMITTEE NAME: Duckels Construction, Inc. JUN 2 Fs 2005 <br />PERMIT NO.: M-1976-051 ~ Oivisim~ Oi Nliearcls G @e.io8q <br />OPERATION NAME: Bettger Gravel Pit <br />ANNIVERSARY DATE: May 8, 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. 34-32116, each year, on the anniversary_date-o£the permit, an.operator_ __ ~_ <br />-` shall submit thaannual 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 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 'our revised written anm~al re,~nrt and annual re,Pnrt man to this form- Please note that an <br />adequately labeled map that clearly delineates and inclardes the 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. <br />Address: 3500 Duckels Ct. <br />Steamboat Springs, CO 80487 <br />-Phone Numbei: -- (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 />Signature o Corporate facer, Owner, or Designee <br />Date <br />