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s sS <br />~_ ~ <br /> <br />PERMTI'TEE NAME: / Cotter Corporation <br />PERMIT NO.: !~M-1978-116 RECE~~EC <br />OPERATION NAME: SM-18 Mine ~OV Q 9 <br />ANNIVERSARY DATE: October 30, 2005 ~~yy~~// <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniv ei•saryoda~e~`a~s and ceoloAY <br />COUNTY: Montrose <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ym~r revised written anneal rennrt and anneal rennrt map to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Glen Williams <br />Permittee Name: Cotter Corporation <br />Address: P.O. Box 700 <br />Nucla, CO 81424 <br />Phone Number: <br />Fax Number: <br />(970) 864-7347 <br />(970)864-7287 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corp 'ate Officer, Owner, or Designee <br />/• ~~4 ~o! <br />Date <br />,/ <br />M:~PERMITMA$TERINJCUMENTS/M-AFA2.DOC <br />