Laserfiche WebLink
4 <br />.t <br />., <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ ~ <br />.~ <br />~s ~ <br />c/~ <br />Cotter Corporation ~ U't/w <br />~M-1977-311 <br />SR-13A Mine <br />August 31, 2005 <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />6D~G- <br />,v <br />~ccordtng-ta-C:R:3~4=32:5=1-I6-ar-G:R:S: 3432-1~I6,-each-year,-on-the~nniversary-date-e€-the-perrnit-an---- ~ <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances. to_affected_ ~ _ _ <br />-land,-reclamation accomplished"gate and during t~ preceding year, new disturbances that are anticipated 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 for the year, if any. <br />Please attach ~pnr revised written annnal r~nrt and annnal report m n this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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 />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 />Signature of Corporate Of~Icer, Owner, or Designee <br />Dat~ <br />M:~PERMIT~MASTERDOCUMENTS/M-AF-02.DOC <br />