2004-06-07_REPORT - M1977284

• Permit No: M1977284
• IBM Index Class Name: Report
• Doc Date: 6/7/2004
• Doc Name: Annual Fee/Report/Map
• From: Cotter Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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Cotter Corporation
M-1977-284
Mineral Joe Claims
June 16, 2004
RECEl9~ED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~
JUN 07 2004
Division of fNire: a:: D G.e~lagy
$225.00 (Due on or before your anniversary date)
Montrose
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,, areport-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 the date active operations ceased for the year, if any.
Please attach ynnr revised written anm~al rennrt and annual rennrt mgp to this fnrm_ Please note that an
adequately labeled map that cieardy delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Bavid-Biss-
Permittee Name: Cotter Corporation
Address: P.O. Box 700
Nucla, CO 81424
Phone Number:
Fax Number:
[phone]
[phone]
Glen GJ i'Il i Grh-ts
If you have additional comments and/or information that should be provided to 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 Corpor e Officer, Owner, or Designee
3 /~ ~/o
Date
M:~PERMn1MASTERD000MENTS/M-AF-02.DOC