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<br />Cotter Corporation <br />M-1977-308 <br />JD-7 Mine <br />May 31, 2004 <br />RECEIVED <br />MAY 0 8 2004 <br />PERMITTEE NAME: <br />PERMTI' NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />g <br />Division of Minerais & Geology <br />$225.00 (Due on or before your anniversary date) <br />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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation~accomplished'to-date and during the precedingyear,-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 y~.r revised written anmral re`nrt and annual rennrt mgp to this form. Please note [hat 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 />PerTnittee Contact: Diis~-Bis~ <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 />61eh (~~~~~i~a~s <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 Corpo;~te Officer, Owner, or Designee <br />5~/3'/o Y <br />Date <br />M:IPERMITMASTERDOCl1MEN'1'S/M-AF-02.DOC <br />