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9 rrvl <br />RECEIVED <br />DEC 2 7 2005 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Division of Minerals and Geology <br />Cotter Corporation <br />M-1979-094HR <br />JD-7 Pit <br />December 14, 2005 <br />$550.00 (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 />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <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 ynnr revised written anneal report and anmial re~nrt man to this fnrm_ 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: Glen Williams <br />Permittee Name: Cotter Corporation <br />Address: P.O. Box 700 <br />Nucla, CO 81424 <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 it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />~~c~ i\ ~ <br />/ ~-~ I <br />Signature of Corporate O icer, Owner, or Designee <br />~d. /!/pJ <br />Date <br />M:~PERMI7IMASIERDOCUMENTS/M-AF-02.DOC <br />