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k4P ~/~, <br />/ "_Y/ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />r <br />ANNUA~FE and PORT REQUEST <br />~ Southway Construction Company, Inc. <br />M-1981-153 <br />Southway Pit <br />Apri15, 2008 <br />$$791.00 (Due on or before your anniversary date) <br />Costilla <br />~~~"~ <br />MAR 2 8 ~ -~ <br />Division of . 2008 <br />Mining and Sagetl, on, <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 report and map showing the extent of current disturbances to affected land, <br />-- - _ - reclamatior.~accomplished to_date-_ and -during the prece_dngyear, 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 report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's man are necessary. then no new map is required, provided that-the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Ralph Martinez <br />Permittee Name: Southway Construction Company, Inc. <br />Address: 117 White Pine Dr <br />Alamosa, CO 81101 <br />Phone Number: (719) 589-5103 <br />Fax Number: (719) 589-5522 <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 />~~ ~y~ <br />Signature of Corporate Officer, Owner, or Designee <br />ll 6 ~ a 8' <br />Date <br />