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- • w III IIIIIIIIIIIII III ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Butala Construction Company <br />PERMIT NO.: M-77-170 <br />OPERATION NAME: Butala Gravel Pit <br />ANNNERSARY DATE: October 01,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Chaffee <br />Company: <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation [hat will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Plcu.rr note that un adequutelr labrlyd nury~ that c/enr/r delineurrs unr/ <br />includes the uboce elrment.r mad suffice Jin a n~rinen report. <br />Please type or print the current contact person', name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Frank Butala <br />Address: <br />tux 90i <br />v~~Bll <br />~?~CEIV~Q <br /> <br />of Gtinerab 8 Geology <br />Butala Construction <br />PhoneNo.: (719 1 539-2521 <br />FaxNo.:(719 ) 539-2523 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />ignature of Corporate Officer, or Owner <br />September 21, 1999 <br />Date <br />INSTRUCTIONS ON BACK <br />