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f is; ~ IIIIIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: Southway Construction Company, Inc. <br />PERMIT NO.: M-1987-040 <br />OPERATION NAME: Costilla Pit <br />ANNIVERSARY DATE: May 21, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Costilla <br />r~~~~ <br />RECEIVED <br />MAY 2 3 2000 <br />Diw~onofMa>~als 8 art,,, <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current dishrbances [o affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be perfornied during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased For the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />dote thur mt adequate/y Labe/ed map 1/rat c/early delinecues acrd irrdar/es the u6ove elenrerrts nlny <br />since for a irritterr report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Natne: Rock I. SButhway <br />Address: 117 White Pine Dr. <br />Alamosa, CO 81101 <br />Company: Southway Construction Co. <br />Phone No.: ( 719 1 589-5103 <br />FAX No.: ( 719) 589-5522 <br />If there are additional comments and/or information [hat should be provided to the Division, please <br />provide i[ on a separate sheet and attach i[ [o this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or O ner <br />5-19-00 <br />Date <br />INSTRUCTIONS ON BACK <br />A1:V'ER M ITN1 ASTER DOC UA7 EM'SN1-AF~01 <br />