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<br />ANNUAL FEE and REPORT REQUEST <br />RECEI~SED <br />PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Cotter Corporation <br />M-1977-284 <br />Mineral Joe Claims <br />June 16, 2002 <br />JUN 1 2 2002 <br />Division of Minerals and Geology <br />$225.00 (Due on or before your anniversary date) <br />Montrose <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1I6, each yeaz, 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 [he upcoming year, reclamation that will be performed during the coming year, [he dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map 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 pernvttee contact information Please verify and make any necessary <br />changes: <br />Permittee Contact: David Diss <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 />H <br />Signature of Corpo e Officer or Owner <br />5 /,~/ /o t/ <br />Date <br />M:~PERMI IVvI ASTERDOCUMENTS/M-AEA2. DOC <br />