2006-05-08_REPORT - M1987012

• Permit No: M1987012
• IBM Index Class Name: Report
• Doc Date: 5/8/2006
• Doc Name: Annual Fee/Report/Map
• From: Southway Construction Company Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

%~t~--
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
fC~J
ANNTiAT, FF.F. and RF.PnRT RF.T)TiF.ST
Southway Construction Company, Inc.
~M-1987-012
King Pit
May 27, 2006
RECEO~E®
MAY D-8 ~
~ u~vision of Minerals and GeolaBY
$688.00 (Due on or before your anniversary date)
Alamosa
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
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reciama ' '~ dote 3Y[ii-dt~"ring a prece mg year, new rs ances t at are anttc~pate 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 rnnr revised written annnal report and annnal re nn rt mgp to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ralph Martinez
Permittee Name: Southway Construction Company, Inc.
Address: 117 White Pine Dr.
Alamosa, CO 81101
Phone Number: [phone]
Fax Number: [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.
d:eLGf1iT. i i~tirs~f
Signature of Corporate ficer, Owner, or Designee
Date