2006-01-06_REPORT - M1997027

• Permit No: M1997027
• IBM Index Class Name: Report
• Doc Date: 1/6/2006
• Doc Name: Annual Fee/Report/Map
• From: DMG
• To: A.J. Botti Construction & Gravel
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

_.SS
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
A:~J. Botti Construction & Gravel
M-1997-027
Moonscape Pit
January 30, 2006
$281.00 (Due on or before your anniversary date)
Delta
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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
-~ ~- sh- ali submit th'e annual tiee, 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 xpnr revised written annnal re~nnrt and annual rennrt maTtn this form. 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 information. Please verify and make any necessary
- changes:
Permittee Contact: Andrew J. Botti
Permittee Name: A. J. Botti Construction & Gravel
Address: 4608 Sundown Rd.
Phone Number:
Fax Number:
Delta, CO 81416-9107
[phone]
[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.
Signature of C orate Officer, Owner, or Designee
D 6'
Date