2006-05-01_REPORT - M1987127

• Permit No: M1987127
• IBM Index Class Name: Report
• Doc Date: 5/1/2006
• Doc Name: Annual Fee/Report/Map
• From: Butala Construction Company
• To: DMG
• 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:
COUNTY:
~ ANNiiAi, FF.F, and RF.PnRT RF.(IiTFST
'/ Butala Constructiou Company
t/M-1987-127
Butala Pit
May 11, 2006
RECEDED
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~~+ysien oll yineret'
~ and GeoingY
$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 year, 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 anti~ated to occur_ ___
_ -during the upcoming year; iectam"a'tion'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 ym~r revised written annual report and annnal report main M Chic form please note that an
adequately labeled map that clearly delineates and includes the above elements maysufficefor 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: 9000 CR 152
Phone Number:
Fax Number:
P. O. Box 907
Salida, CO 81201-9519
[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.
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Signature of Corporate Officer, Owner, or Designee
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Date