2017-03-17_REPORT - M1987013

• Permit No: M1987013
• IBM Index Class Name: Report
• Doc Date: 3/17/2017
• Doc Name: Annual Fee/Report Notice
• From: DRMS
• To: Southway Construction
• Annual Report Year: 2017
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

Page 5 of 5

Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
information on record). If this information is blank or not current , please type or print current contact information:

Permittee Contact:

Rock I. Southway
Permittee Company:

Southway Construction
Company, Inc.

Address:

117 White Pine Dr
Alamosa, CO 81101

Phone Number:

[phone]
Fax Number: [phone]
Email Address:
Permitting Contact:

Ralph Martinez
Company:

Southway Construction
Company, Inc.

Address:

117 White Pine Dr
Alamosa, CO 81101

Phone Number:

[phone]
Fax Number: [phone]
Email Address:
Inspection Contact:

Joe Gagliano
Company:

L J Development, Inc.
Address:

256 N. Merrill Drlve
Pueblo West, CO 81007

Phone Number:

[phone]
Fax Number: [phone]
Email Address:

I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.

Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M-AF-01