REP31288

• Permit No: M1992066
• IBM Index Class Name: Report
• Doc Date: 4/9/2001
• Doc Name: ANNUAL FEE AND REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUi`ITY:
ANNUAL Fl pI IIIIIIIIIIIII III UEST
Duckels Construction, Inc.
M-1992-066
Hogue/River Pit
April 12, 2001
RECEIVED
APR 0 9 2001
9~
Dirision of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Routt
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he anniversary date of the permit, an
operator shall Eubmit_the annual_fee,a report and map showing the extent of current-dis[urbances_to affected-
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. Please note that arr
adequnlely labeled map that clearly delineates and includes the above elements may suffice jor a written:
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changc;s:
Permittee Contact: Linda F. Dibble
Permittee Name: Duckels Construction, Inc.
Address: 3500 Duckels Ct.
Steamboat Springs, CO 80487
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
'gnature o orporate Officer or Owner
Da~
M: W E RM I"M1ASlERD000rv1ENTSUI-AFA I