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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />So. Way Co. <br />M-1981-153 <br />Southway Pit <br />April 5, 2003 <br />RECEIVED <br />APR 0 2 2003 <br />Division of Minerals and Geofagy <br />$688.00 (Due on or before your anniversary date) <br />Costilla <br />_ 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 <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 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 />Pl ae se~~itach your revised written anneal reptyt and anneal re,~prt maR to this form. Please note that an <br />adequately Labe/ed map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name: <br />Address: <br />Kris DeGolyer <br />So. Way Co. <br />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 />f~ <br />Signature of Corporate Officer, Owner, or Des nee <br />~3~~I~n~ <br />Dat~ i <br />M:\PERMI7IMASTERD000MENTSN1-AF-01 <br />