2006-04-03_REPORT - M1981153

• Permit No: M1981153
• IBM Index Class Name: Report
• Doc Date: 4/3/2006
• Doc Name: Annual Fee/Report/Map
• From: So. Way Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
f/ ANNTJAT. FF.F, and RF.PnRT RF,OTJF.ST
t/ So. Way Co.
t/M-1981-153
Southway Pit
Apri15, 2006
RC(;~i'~~p
`~ APR 0 ~ ZJ06
liDNla~On of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Costilla
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~._.,. ~b^~. *.a-hn-eft. r ^F ~ ~,;,t-dis:~~-•'^==~te=affeeted-lard,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur I
during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ~~r revised written anneal re~nrt and anm~al report maT to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact: Ralph Martinez
Permittee Name:
Address:
So. Way Co.
117 White Pine Dr.
Alamosa, CO 81101
Phone Number:, ,____(7.191.589_5103_ __
Fax Number: [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.
Signature of~ora Officer, Owner, or Designee
Date