REP46513

• Permit No: M1987040
• IBM Index Class Name: Report
• Doc Date: 5/6/2002
• Doc Name: 2002 Annual Report
• From: Southway Construction Company Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

i
'•
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Southway Construction Company, Inc.
M-1987-040
Costilla Pit
May 21, 2002
$281.00 (Due on or before your anniversary date)
Costilla
RECEI~sE®
MAY 0 6 2002
Division of Minerals and Geology
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 [he 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 [o occur
during the upcoming year, reclamation that will be performed during [he 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 resort man 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: Kris DeGolyer
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 i[ to this form along with your written report and map. Annual Report instructions are enclosed.
d~~:..dt""" fK
Signature of Corporate Officer or Ow r
OS-03-02
Dale
M iPERM171MASTERD000M ENTSNI-AF-01