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n~v~ <br />~ z5 ~ra-~ <br />~S <br />~- ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: / Cotter Corporation '~ " - "" ''- <br />~ <br />~ <br />PERMIT NO <br />: ~M-1978-116 e ~ <br />. _-.,. b .m <br />~ <br />. SEP 7 5 2005 <br />OPERATION NAME: SM-18 Mine ~ <br />~'pivision of Rrclamatio <br /> <br />ANNIVERSARY DATE: <br />October 30, 2006 n, <br />i~6~°i°9 are:; 3~iclY <br />ANNUAL FEE DUE: $550.00 (Due on or before you r 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 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 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 vour revised written annual resort and annual resort man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durinti the previous vear and no <br />new chanties to the previous year's man are necessary, then no new moo is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately Zabeled map that clearly <br />delineates and includes the above elements may since jor a written 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: <br />Address: <br />Cotter Corporation <br />P.O. Box 700 <br />Nucla, CO 81424 <br />Phone Number: (970) 864-7347 <br />Fax Number: (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 />~~ ~~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />-//-t/ <br />Date <br />M:~PERMITMASTERDOCUMENTS/M-AF-02.DOC <br />