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- ~::; ' ;~ <br />{ <br />~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />v Cotter Corporation <br />RECEIVED <br />~ M-1977-311 ~A~~ . 2 $ 2~~6 <br />r/SR-13A Mine vision of Reclamation, <br />August 31, 2006 Mining and Safety <br />$225.00 (Due on or before your anniversary date) <br />Sau Miguel <br />~~ <br />g~o-~ <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 tfie upciiming yi;ar-reciamation tfiat will be performed~urin`g the coming year; the dates foi the <br />beginning of active operations, and the date active operations ceased for the yeaz, if any. <br />Please attach vour 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 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 />Phone Number: <br />Fax Number: <br />Nucla, CO 81424 <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 Corporate Officer, Owner, or Designee <br />Date <br />M:~PERMITMASTERDOCUMEMS/M-AFA2.DOC <br />