2006-07-10_REPORT - M1984025

• Permit No: M1984025
• IBM Index Class Name: Report
• Doc Date: 7/10/2006
• Doc Name: Annual Fee/Report/Map
• From: So. Way Co.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
t/So. Way Co,
~M-1984-025
Stage Stop Pit
July 26, 2006
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$688.00 (Due on or before your anniversary date)
Saguache
__According_to_C.R.S.34r32.5_L16.ocC.R_5.,34-32-1.16, each_year,_on,the.anniversary-date-0f-the-permit,-anoperator-- -- -
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances 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 ym.r revised written anneal re~nnrt and anmial re ern t man to Chic form- The Annual Report
& Fee requirement is not met until we have received the following 3 components: fee, rennrt, and associated
map (All 3 are required regardless of the level of disturbance or absence of disturbance during the previous
year). Please note that an adequately labeled map that clearly delineates and includes the above elements may
su~ee for a written report. .
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Rock I. Southway
Permittee Name:
Address:
Phone Number:
Fax Number:
So. Way Co.
117 White Pine Dr.
Alamosa; CO 81101
[phone]
[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.
t~
Signa re of Corporate O icer, Owner, or Designee
/ - / ~-'
Date