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<br />RECEIVEp <br />JAN 1 5 2003 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Southway Construction Company, Inc. <br />M-1988-087 <br />Swede Corners Pit <br />January 13, 2003 <br />Division of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />Saguache <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anhclpate t <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 annual reFnrt and anneal red nrt m~ to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Con[act: Kris DeGolyer <br />Pemuttee Name: Southway Construction Company, Inc. <br />Address: 117 White Pine Dr. <br />Phone Number: <br />--- - Fax Number: <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 instmctions are enclosed. <br />~Y! ~'~'f~`.c. <br />Signature of Corporate Officer, Owne , or Designee <br />/-13 d Z <br />Date <br />M:IPERM 17 V.1ASTERD000MENTSN~-AF-01 <br />