2000-10-30_REPORT - M1978286HR

• Permit No: M1978286HR
• IBM Index Class Name: Report
• Doc Date: 10/30/2000
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Cotter Corporation
M-1978.286-HR ~
Liberty Mine
November 1, 2000
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RECEIVED
r?CT3U~
Oivisian ~! gq~nprals and CeologY
$225.00 (Due on or before your anniversary date)
Mesa
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operatorshall submitrthe annual fee, a report and map showing the-cxtrnt of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. Please note that ott
adequately labeled map that clenrly delnteates and hrcludes the above elements may since for a writer
report.
Division records indicate the following permit[ee contact information. Please verify and make any necessary
changes:
Permittee Contact: David Diss
Pennittee Name:
Address:
Cotter Corporation
P.O. Box 700
Nucla, CO 81424
Phone Number: [phone] [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided [o the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signature of Corpo e Officer or Owner
Date
•
ANNUAL FEE and REPORT REQUEST
M.~PERh1rM1ASTERD000M ENT$/M-AF-02.DOC