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<br />PERMITTEE NAME: Butala Construction Company RECEIVED <br />PERMIT NO.: M-1977-170 SEP 2 6 20 <br /> <br />OPERATION NAME: <br />Butala Gravel Pit 03 <br /> Division of Mi <br />ANNIVERSARY DATE: October 1, 2003 nerals and,~e~- <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniv ersary date) <br />COUNTY: Chaffee <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 />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 anm~al report and annual rennrt m ~n 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: Frank Butala <br />Permittee Name: Butala Construction Company <br />Address: P.O. Box 907 <br />Phone Number: <br />Fax Number: <br />Salida, CO 81201 <br />(719) 539-2521 _ <br />(719) 539-2523 <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. Annua] Report instructions are enclosed. <br />Owner, or Designee <br />Date <br />M:\PERMITVAASTERDOCUMENTSVvi-AFA I <br />