2007-09-27_REPORT - M1977170

• Permit No: M1977170
• IBM Index Class Name: Report
• Doc Date: 9/27/2007
• Doc Name: Annual Fee/Report/Map
• From: Butala Construction Company
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE:
ANNUAL FEE DUE:
ANNUAL FEE and REPORT REQUEST
Butala Construction Company
M-1977-170 /
Butala Gravel Pit
October 1, 2007
$$791.00 (Due on or before your anniversary date)
RECEIVED
SEP 2 7 2001 ~
Division of Reclamation
Mining and Safety
--- -.-COUNTY: - _ _ ,__ _Chaffee-- _--- _ -- --- -- - ~___. --- -_- _ - _
_ _ _According,to C.R.S_ 34-3?.5-116_ or C.R.S,_34_32,116, each year,.on the annivers_ary._date of the permit, an operator _
shall submit the annual fee, a report and map showing the extent of current disturbances 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 your revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
man. If no new disturbances or reclamation have occurred during the previous vear and no new chances to
the previous year's map are necessary, then no new man is required, provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may since for a written report.
Division records indicate the following permittee contact infonnation. Please verify and make any necessary
changes:
Permittee Contact: Frank Butala
Permittee Name: Butala Construction Company
Address: 9000 CR 152
Salida, CO 81201-9519
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corporate Officer, Owner, or Designee
9/ZS /07
Date