REP05763

• Permit No: M1977305
• IBM Index Class Name: Report
• Doc Date: 2/18/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Cotter Corporation
M-1977-305
CLP-21 Mine
March 31, 2003
$550.00 (Due on or before your anniversary date)
Montrose
RECEIVED
FEB 1 ~ ;~
DWision of Minerals and GeoloGy
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 shall-sutimit ffie annual-fee; a ieport and inap `showing the eztenf of currenf disturbances to'affected - -- ~-
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual resort and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: David Diss
Permittee Name: Cotter Corporation
Address: P.O. Box 700
Nucla, CO 81424
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signature of,,/Corporatgt~fficer, Owner, or Designee
Date
M:\PERMITUTASTERDOCUMENTS/M-AF-02. DOC