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.~~ ~~~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/Cotter Corporation <br />r M-1977-311 <br />SR-13A Mine <br />August 31, 2007 <br />M~ D/~ <br />RECEIVED <br />JUL 2 8 2007 <br />Division or rceciamation, <br />// Mlning and Safety <br />$259.00 (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 disfurban'ces fliat 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 report and annual report mao to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the arevious near and no <br />new chances to the arevious year's mau are necessary. then no new mao is required. provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />deliraeates and includes the above elements may since for a written 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) 864-72$7 <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 instrucfions are <br />enclosed. <br />~~~ ~~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />7- 9 ~ 7 <br />Date <br />M:~PERMI'PMAS7ERDOC[1MENTSMI-AF-02.DOC <br />