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1D <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Cotter Corporation <br />M-1977-310 <br />JD-6 Mine <br />July 31, 2002 <br />REDEIVED <br />JUN 2 4 "~~2 <br />Division of Minerals and Gcal~gy <br />$225.00 (Due on or before your anniversary date) <br />Montrose <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 <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated 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 vour revised written annual resort and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pemuttee Contact: David Diss <br />Permittee Name: Cotter Corporation <br />Address: P.O. Box 700 <br />Nucla, CO 8]424 <br />Phone Number: (970) 864-7347 <br />Fax Number: (970) 864-7287 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature <br />~ ~~/D <br />Dale <br />Officer or Owner <br />M:SPERM]71MASTERDOCUMENTS/M-AF-02.DOC <br />