2001-11-07_REPORT - M1978286HR

• Permit No: M1978286HR
• IBM Index Class Name: Report
• Doc Date: 11/7/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
RECEtUEC
NOV 0 7 2C^1
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Cotter Corporation
M-1978-286-HR
Liberty Mine
November 1, 2001
$225.00 (Due on or before your anniversary date)
Mesa
Division at Miner;,ls a.t; Crologp
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 submit the annual fee, a report and map showing the extent of current 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 [he date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. Please Wore rlrar an
adequately labeled map that clearly delirtentes and includes the above elements rnm~ since for a trritten
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:
Fax Number:
[phone]
(970) 8b4-7287
If you have additional comments andlor information that should be provided to the Division, please provide it
below or attach i[ to this form along with your written report and map. Annual Report instructions are
enclosed.
~~ ~,
Signature of Corporate fficer or Owner
//.
Date
A7'IPERMITN1ASTERDOCUAI ENTS/A1-AF~OSDOC