REP52430

• Permit No: M1987040
• IBM Index Class Name: Report
• Doc Date: 4/30/2004
• Doc Name: Annual Report and Fee
• From: Southway Construction Company Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

1.:-

RECEIVE®
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME;
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Southway Construction Compauy, Inc.
M-1987-040
Costilla Pit
May 21, 2004
APR 3 0 2004
Division of Minerals & Geology
$281.00 (Due on or before your anniversary date)
Costilla
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,
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 re~7nrt and annual report m to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact: Iffier
Permittee Name: Southway Construction Company, inc.
Address: 117 White Pine Dr.
Alamosa, CO 81101
Phone Number: [phone]
Fax Number: [phone]
l~~ L~~ L27~ ~-~ t ~~ z-
1f 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.
Si~~Corporate ffieer, Owner, or Designee.
y., ~S~a~
Date