2003-07-11_REPORT - M1984025

• Permit No: M1984025
• IBM Index Class Name: Report
• Doc Date: 7/11/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
So. Way Co.
M-1984-025
Stage Stop Pit
July 26, 2003
JUL 1 1 2003
Division ~t Minerals and Geology
$688.00 (Due on or before your anniversary date)
Saguache
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 map showing the extent of current disturbances to affected land,
reclamation-accomplished-te-date-and-durtag-the-preceding-year,-new-ciishirbances-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 ymrr revised written anneal rennrt and anneal rennrt m~ to this form- Please note Jhat 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:
Permittee Contact:
Permittee Name:
Address:
Rock I. Southway
So. Way Co.
117 White Pine Dr.
Alamosa, CO 81101
Phone Number: [phone]
I~ax 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.
.~ G~cl2 ~ .~ ,
Signature of Corporate Officer, Owner, or esignee
i~/~ ~~
Date
M:\PERMITU1ASTERD000MENTSVv1-AF-01