2017-09-29_M1983175_Annual Fee Notice ARCHIVE

• Permit No: M1983175A
• IBM Index Class Name: Report
• Doc Date: 9/29/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Southwest Ready-Mix, Inc.
• Annual Report Year: 2017
• Media Type: D
• Archive: Yes

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:

Ralph Martinez
Permittee Company:

Southwest Ready-Mix, Inc.
Address:

117 White Pine Dr.
Alamosa, CO 81101

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:

Joe Gagliano
Company:

L J Development, Inc.
Address:

653 E Enterprise Dr., Unit A
Pueblo, CO 81007-4422

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Inspection Contact:

John Sliman
Company:

Southwest Ready-Mix Inc
Address:

37400 Hwy 96 East
Pueblo, CO 81006

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