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RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Southway Construction Company, Inc. <br />M-1988-087 <br />Swede Corners Pit <br />January 13, 2004 <br />$281.00 (Due on or before your auuiversary date) <br />Saguache <br />JAN 0 9 2004 <br />Diviaion of Minerals & GaoloBY <br />According to 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 />ractatnation-accomptfshezl'tu'hats-and-during'the-preoedingyear-ttew-disharban>r a s-that-are-amicipated-to~ccur <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 rennrt and annual re nn rt m,1p 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 Contact: EL <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 />~aLJ~k ///m.Y~LK-G7i <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 />Signature of Corporate Officer, Owner, or Des ee <br />~.., !7 ~~ <br />Date ! ! _ .. _- - -- -- <br />M:\PERM ITMASTERDOCUM ENTSVN-AF-01 <br />