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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />so. way co. <br />RECEIVED <br />APR 2 9 2002 <br />M-1981-153 <br />Division of Minerals and Geology <br />Southway Pit <br />Apri15, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Costilla <br />According [o C.R.S. 34-32.5-I 16 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 di"smrbances" that ate anticipated to occur <br />during the upcoming year, reclamation [hat 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 report and annual report map 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 [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact Kris DeGolyer <br />Permittee Name: So..Way Co. <br />Address: 117 White Pine Dr. <br />Alamosa, CO 81101 <br />Phone Number: (7i9) 589-5103 <br />Fax Number: (719) 389-5522- - <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 />~~ ,'~ l .z ~u ~,~ 6 ~ Dc~ <br />Signature of Corporate Officer r Owner <br />-~3 -02 <br />Date <br />M:~PERMI7~MASTERD000MENTSNI-AF-eI <br />