2005-10-12_REPORT - M1984014

• Permit No: M1984014
• IBM Index Class Name: Report
• Doc Date: 10/12/2005
• Doc Name: Annual Fee/Report/Map
• From: Cotter Corporation
• To: DMG
• Media Type: D
• Archive: No

10/il/2005 10:99 '3709547297 COTTER CORP NUCLA
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ANNi1AT. FFR and RF.P R(~ T RF.QiTF.ST
PERMIT'Tfi) NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~Co[ter Corptration
!/M-1984-OiA
C-JD-B
October 1.0; 2005
PAGE 05/05
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vnit`r...... ,....._._,s 1r S~alouY
$550.00 (Due on or before your anniversazy date)
]vioptsose
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the apniversary date of the permit, an
operator shall siibmjt the:.anngal .£ee;_a report:and-tna~i: §}ao~ymg,th'ez~,tent of Cut•~stlt,cll'stpibancesto affected= .
land, reclamation aecomplished,to date and dtuing-the preceding year, new disturbances that are anticipated to
occur dttriitg,the: upebilai0grycai: reclati>etion: that will be. perforated during ttie contiitg year, khe dates for the
beginning of active operations, and the date active operations ceased for the year; if any:
Please. attach~ym~r revised written anm~al rennet and anneal rennet man in fhic~fnrm .P/¢aSe not2 thvt an
ad¢guat¢ly labeled map that cfearly,d¢lin¢trte died includes the abooc. elements may ruffce for a written
report.
Division records indicake the following petrtlittie contact infom~ation. Please: verify and make any necessary
changes:
Permittee Contact: Glen Williams
Permittee Name: Cotter Corporation
Address: P.O. $ox 700
Nucla, CO 81424
Photte Number:
'Fax Number:
[phone]
(970}.864-7287
If you have additional comments andJor 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 aze
enclosed.
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Signature of Co orate Officer, Owner, or Designee
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Date r
M:~rUnT~MASfekD6CUMENIS/RS•APAI.DDC