2003-09-22_REPORT - M1977300

• Permit No: M1977300
• IBM Index Class Name: Report
• Doc Date: 9/22/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Cotter Corporation
M-1977-300
Schwartzwalder
September 28, 2003
RECEIVED
SEP 2 ? 2003
Division ~f Minerals and Geology
$550.00 (Due on or before your anniversary date}
Jefferson
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-aanual-fee, a-report-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 ymn• revised written annnal report and annnal report man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffrce for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Timothy Pierce
Permittee Name: Cotter Corporation
Address: P.O. Box 1017
Golden, CO 80402
Phone Number: [phone]
Fax Number: [phone]
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 Corporate OYficer, Owner, or Designee
f~///o 3
Date
M:~PERMITNIASTERDOCUMENTS/M-AF-02. DOC