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reo <br />RECEIl~E~ <br />JAN 1 1 1006 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Southway Construction Company, Inc. <br />M-1988-087 <br />Swede Corners Pit <br />January 13, 2006 <br />$281.00 (Due on or before your anniversary date) <br />Saguache <br />m~~s~~....~..,,..>,~~_ _.._.- ,~ssr <br />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 <br />______shall_submit_Ylu`annual_feera_report_and-map~howing-the_extrnt-of-current-dish~rbances-to-affected-land; - <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anmial res nrt and anneal re~ nn rt main m this fnrm_ Please note that nn <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Ralph Martinez <br />Permittee Name: Southway Construction Company, Inc. <br />Address: 117 White Pine Dr. <br />Alamosa, CO 81101 <br />Phone Number: (719) 589-5103 <br />Fax Number: (719) 589-5522 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />SignatSre of Crate fficer, Owner, or Designee <br />~•,- <br />Date <br />