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1 t~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Southway Construction Company, Inc. <br />M-1984-026 <br />Del Norte Pit <br />June 22, 2002 <br />RECEIVED <br />JUL 0 1 2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Rio Grande <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />-shall-subrnit-ihe-annual-fee;=a--report.and-map: shaw.ing-ihe-extent-nf-acutre9[-disturbances_ 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 vour revised written annual report and annual report maa to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since far a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Rock I. Southway <br />Southway Constmction Company, Inc. <br />117 White Pine Dr. <br />Alamosa, CO 81101 <br />(719)589-5103 <br />(719)589-5522 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />o +- <br />Signature of Corporate Officer or Own <br />~ -iv-o~- <br />Date <br />M: W ERMITVv1ASTERD000MENTSN~I-AF-eI <br />