Laserfiche WebLink
RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Southwest Ready-Mix, Inc. <br />M-1983-175 <br />Alamosa Pit No. 2 <br />November 25, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Alamosa <br />OCT 162003 <br />Division of Minerals and Geology <br />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 <br />_ __ shall submit the annual fee, a repoR and map showing the extent of current disturbances to affected land,_ <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <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 annnal rennrt m~ to this fnrm_ 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: Otis-Be6elye~. <br />Permittee Name: Southwest Ready-Mix, Inc. <br />Address: 117 White Pine Dr. <br />Alamosa, CO 81101 <br />Phone Number: (719) 589-5103 <br />_~ ___ Eax~Tumber:_,-.__(7-19}SR9S522____ _- -__ - <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 Designe <br />lC~~+3~i).2 <br />Date ~ <br /> <br />M:IPERM ITMASTERDOCUM ENTSVA-AFA I <br />