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~~ D°_' <br />RE~~.'. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Cotter Corporation <br />M-1979-118-IIR <br />Wright Group <br />February 1, 2004 <br />FEB 0 2 2004 <br />Division of Minerals & Deolopy <br />$225.00 (Due on or before your anniversary date) <br />Montrose <br />According to C.R.5. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />an , rec amatton accomp ish3~to date an unng the preceding year, new distur ances [Fiat aze anficipat~lce -to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annnal report and annnal re~nrt m to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: I4ave'~iss <br />Permittee Name: Cotter Corporation <br />Address: 28151 DD Rd. <br />P.O. Box 700 <br />Phone Number: <br />Fax Number: <br />Nucla, CO 81424 <br />(970)864-7347 <br />(970) 864-7287 <br />G(eh willigw,s <br />If you have additional comments and/or informafion 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 <br />enclosed. <br />Signature of Corpora Officer, Owner, or Designee <br />/~,ZG/app <br />Dale <br />nr:~rEanarnn+as~xnocumerrrsma-ne-oz.noc <br />