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q~ N <br />~ ~. <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~~~~~~~ <br />VNiiAi. FF.F. and RF,PCIRT RF.t7iiF,ST APR <br />OieisiogotMinBfo/~ ?OV 7' <br />Duckels Construction, Inc. dba Yampa Aggregates ends nto9Y <br />M-1992-066 <br />Hogae/River Pit <br />Apri112, 2004 <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 _repcrt_and mapshowing_the_extent.of_cunc.i_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 ynnr revised written annnal report and annual rennrt map 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 additionai 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 />i a of Co e Of cer, , o esignee <br />~ 1,S) v4- <br />Date <br />