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ynv~ <br />~ANNTiAi, FF.F, and REPORT RF.niiF.ST <br />PERMITTEE NAME: ~ Cotter Corporation ~ - , <br />PERMIT NO.: ~M-1977-305 <br />OPERATION NAME: C-LP-21 Mine /~IR ~ a ZQQ6 <br />ANNNERSARY DATE: March 31, 2006 <br />gyggn Of Mmerels Yfltl G~OIOQy <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />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 <br />operator hall-submit the-annual_fa_e, a report a_ nTd-map~sho_wing-.the extent.of-current disturbances_to_affected________- <br />~- "land; reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to_ __ _ _ <br />~i~' ocou`r-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 your revised written annnal rPnnrt and annnal rennrt m ~n to his form. Please note that an <br />adeguately labeled map that clear{y delineates and includes the above elements may suffice 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 />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 Co this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />y~ - <br />Sign/ature of C orate Officer, Owner, or Designee <br />y/ ~/o G <br />Date <br />M:~PERMIT4MASTERDOCUMENI'S!M-AF-02.~OC <br />