2005-05-23_REPORT - M1987127

• Permit No: M1987127
• IBM Index Class Name: Report
• Doc Date: 5/23/2005
• Doc Name: Annual Fee/Report/Map
• From: Butala Construction Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Butala Construction Company
M-1987-127
Butala Pit
May 11, 2005
~~~~~. . _
MAY 2 3 2G05

Division of Ntinorala b f;calo,~p
$281.00 (Due on or before your anniversary date)
Chaffee
According to C.R.S. 34-32.5-116~or C.R.S..34-32-116, each yeaz, on the anniversary 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 ynnr revised written anmral rennrt and anm~al report m ~n to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Frank Butala
Permittee Name: Butala Construction Company
Address: 7625 Hwy. 50
P. O. Box 907
Salida, CO 81201
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.
Si lure of orporate Officer, Owner, or Designee
_ LD O
Date