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RECEIVEC <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Cotter Corporation <br />M-1977-451 <br />Ike No 1 Mine <br />February 15, 2004 <br />FEB 0 2 2004 <br /> <br />Division of Minerals & Geology <br />$550.00 (Due on or before your anniversary date) <br />San Miguel <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 far the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anmral re~prt and annnal report main 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 />Permittee Contact: . ~iti~i5s <br />Permittee Name: Cotter Corporation <br />Address: 28151 DD Road <br />P. O. Box 700 <br />Phone Number: <br />Fax Number: <br />Nucla, CO 81424 <br />(970)864-7347 <br />(970) 864-7287 <br />/P~-~ ~.tli (~ i Ctivl S <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 />of Corporate (~~ficer, Owner, or Designee <br />~~~ ~~o <br />Date <br />M:~PERMITMAS7ERD000MENTS/M-AF-02.aOC <br />