2005-11-25_REPORT - M1983175

• Permit No: M1983175
• IBM Index Class Name: Report
• Doc Date: 11/25/2005
• Doc Name: Annual Fee/Report/Map
• From: Southwest Ready-Mix Inc.
• To: DMG
• Media Type: D
• Archive: No

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PERMITTEENAME: ~
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outhwestReady-Mix, Inc. RECEIVED
PERMIT NO.: //
/~M-1983-175 ~~1f 2 5 2~
OPERATION NAME:
ANNNERSARY DATE: Alamosa Pit No. 2
November 25, 2005
~ "~~~~sion of Minerals and Geology
ANNUAL FEE DUE: $688.00 (Due on or before your an niversary date)
COUNTY: Alamosa
16
each year, on the anniversarv date of the Hermit, an
shall submit the annual fee; as repu~t'and map showing the exfent of current disturbances to ~'fect~e - al nom;
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 y nor revised written anneal report and anm~al re,nrnrt man to 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: Ralph Martinez
Permittee Name: Southwest Ready-Mix, Inc.
Address: 117 White Pine Dr.
Alamosa, CO 81101
Phone Number: [phone]
Fax Number: (719} 589-5522
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.
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Signature of Corporate fficer, Owner, or Designee
-o5J
Date