REP02862

• Permit No: M1981153
• IBM Index Class Name: Report
• Doc Date: 4/1/2004
• Doc Name: 2004 Annual Report
• From: So. Way Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

So. Way Co.
M-1981-153
Southway Pit
Apri15, 2004
RECE!!/E®
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:

APR 01 2004
Olvision of Mlnvr~~s ry 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, Qn the.anniversary_da[e 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 anticipated to occur
during the upcoming year, reclamation 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 annual re}tnrf man M this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: 1ErisHefio}9t r
Permittee Name
Address:
So. Way Co.
117 White Pine Dr.
Alamosa, CO 81101
Phone Number: [phone]
Fax Number: [phone]
1QaLp<ti ~'1'1arTrvt67~
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 Corporate facer, Owner, or Designee
Dat~ ~ 3-~