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<br />RECEI!/ED <br />ANNUAL FEE and REPORT REQUEST <br />APR 2 9 2002 <br />PERMI"TTEE NAME: Southway Construction Company, Inc. Division of Minerals and Geology <br />PERMIT NO.: M-1995-060 <br />OPERATION NAME: Butcher Pit <br />ANNNERSARY DATE: April 1, 2002 <br />ANNUAL FEE DUE: $685.00 (Due on or before your anniversary date) <br />COUNTY: Alamosa <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to- affected land, <br />- reclamation accomplisfied [o date and' during`tlie 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 [he beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual reuort maa 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 permit[ee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Kris DeGolyer <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 it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Fr .Gic~.K 2 S~uI~~,,,~ d~ ,y' ~G G~" <br />Signature of Corporate Officer or~Owner <br />-~3 -dam <br />Date <br />M:IPERMITMASTERD000MENTSIM-AF-01 <br />