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rl` / / <br />ANNUAL FEE and REPORT REQUEST RECEIVED <br /> ~~~N 0 s 2~~~ <br />PERMITTEE NAME: d Cotter Corporation <br /> <br />PERMIT NO.: ~~G~ <br />/ 1Vr-1977-284 nivision of Reclamation, <br />~J ~~ a~ y <br />OPERATION NAME: Mineral Joe Claims <br />ANNNERSARY DATE: June 16, 2007 <br />ANNUAL FEE DUE: $$225.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />According ta-C.R:S-34=33:5-115 or-G.I~S.-34-32-1d6~each yeaz, an_the_anniversary_date of the permit, an_ _ _ <br />operator shall submit the annual"fee,-a report and map showing the extent of cuirenrdisturbances to affected <br />'-°'°`°la7~d;leclamatiarr'aCCOmptislted-todate-and-duringthepre~edittgyear,-newdis 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 far the year, if any. <br />Please attach vour revised written annual report and annual report map 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 previous vear and no <br />new chances to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice 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: <br />Address: <br />Cotter Corporation <br />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 />/ %~ G~/~ <br />Signature of Corporate Officer, Owner, or Designee <br />i7~2y~~ <br />Date <br />M:NERMII\MASTERDOCUMEM$/M-AF-02.DOC <br />