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<br /> ANNUAL FEE and REPORT REQUEST APR ~ ~ 2008 <br />PERMITTEE NAME: Duckels Construction Inc. dba Yam a A re ates <br />~ P gg g Division a; ¢~i~:ciu~nation, <br />Dining and Safety <br />PERMIT NO.: M-1992-066 <br />OPERATION NAME: Hogue/River Pit <br />ANNIVERSARY DATE: Apri112, 2008 <br />t1NNLJAL FEE DUE: $$791.00 (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 />reclamation accomplished--to-date and-during-the-precedng•=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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's man are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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 Court <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 />~~ <br />Signature o orporate is caner, o Designee <br />~~-2-0~ <br />Date <br />