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tAF -fir- QQ <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Southway Construction Company, Inc. <br />PERMIT NO.: M-1988-087 ? <br />OPERATION NAME: Swede Corners Pit <br />ANNIVERSARY DATE: January 13, 2009 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Saguache <br />RECEIvED <br />JAN 14 2009 t/ <br />Division of Reclamation, <br />Mining and Safety L:O- <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 />------reclwnatien-accomplished-to-date=-and-dur-ing-the-preceding-year,= nvw-distur-banes-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 vear's map are necessarv. then no new map is reauired, urovided 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 />Phone Number: <br />Fax Number: <br />Alamosa, CO 81101 <br />(719) 589-5103 <br />(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 />?UAL AAC)6* <br />Signature of Corporate Officer, Owner, or Designee <br />/--111 //a - 0-9 <br />Date