2001-11-23_REPORT - M1983175

• Permit No: M1983175
• IBM Index Class Name: Report
• Doc Date: 11/23/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

III IIIIIIIIIIIII III
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Southwest Ready-Mix, Inc.
M-1983-175
Alamosa Pit No. 2
November 25, 2001
REC~'~'En
NO', .'3 ~~.;1
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date}
Alamosa
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, 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,
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 your revised written annual report and annual report map to this form. Please Wore that an
adequnrely labeled map that clenrly delrneares mrd incluAes the above elements mm~ since for a rrritren report.
Division records indicate the folL~wing permittee contact information. Please verify and make any necessary
changes:
Permiitee Contact: Kris DeGolyer
PerTniuee Name: Southwest Ready-Mix. Inc.
Address: 117 White Pine Dr.
Alamosa, CO 81 101
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 alone with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer or Own
Date
A1:~PERM Ff V.7ASTERD000MENTSVrt-AF~01