2003-09-26_REPORT - M1987127

• Permit No: M1987127
• IBM Index Class Name: Report
• Doc Date: 9/26/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

SEF-22-03 11:53 FRCthColorado Division of Ilinarats ¢ Geolo¢r

[phone]
T-745 P.003/003 F-562
A NN71Ai. F ..and RRP(1R'~~ IIRRT C C
RECEIVED
PERMITTER NAME: Butala Construction Company
PERMIT NO.: M-1987-127 $EP 2 6 2003
OPERATION NAME: Butala Pit Division of Mineral
s and Geology
ANNIVERSARY DATE: May 17, 2003
ANNC7AL FEE DU£: S281.00 (Due oa or before your anniversary dare)
COUNTY: Chaffee
According to C.R-S. 34-32,5-116 or C.R.S. 34-32-116, each year, on the amiversary date of the permit as of ~er~tor
shalt submit the annual fee, a report and map showine the eaten[ of current disturbances to affecce[ !and,
rcciamation accomplished tc date and during the preceding year, new disturbances that are anticipa[ed to occur
during the upcoming year, reclamation that will be perfortt><:d during the coming year, the dates for the bet inning
of active operations, and the date active operations ceased for the year, if any.
Ptcace attach ylF11r rrvlced wrrrten anm~al rrpnrt and annual re orn t mph to chic fnrm- please note i 4at an
adequately labeled map char clearly delinearer add includes the above elements mug s~ce for a written rep err.
Division records indira[e the following permittee coniau infomtation. Please verify and make any net essary
changes:
Petntincc Contact: Frank Butala
Pettnirtee Name: Butala Construction Company
Address: 7625 Hwy. 50
P.O- Box 907
Salida, CO 8120]
Phone Nmmber:
Fax Number:
(719j~39-2521
[phone]
If you have additional comments and~or information that should be provided to the Division, please pre vide it
below or attach it to this form along with your written report and trap. Annual Report instructions are enclc ,ed.
Owner, or Designee
Date
M 11•eaM1T W1AS[ERDOCLTIENTSYd-AF-O7