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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Southway Construction Company, Inc. <br />M-1995-060 <br />Butcher Pit <br />April 1, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Alamosa <br />~ECEIVEC <br />APR 0 2 2003 <br />Division of Minerals and Geology <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°af~current-distu~es=to affected land, <br />reclamation accomplished to date and during the preceding year, 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 xpmr revised written anneal tenor[ and anneal rennrt maw to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Kris DeGolyer <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 />Z O~ ~~ y2" <br />Signature of Corpor to Officer, Owner, or De gnee <br />~~ ~ .~ <br />Dat~ <br />M:~PERMITU7ASTERD000MENTSVA-AF-01 <br />