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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Cotter Corporation <br />M-1978-286-HR <br />Liberty Mine <br />November 1, 2002 <br />$225.00 (Due on or before your anniversary date) <br />Mesa <br />RECEIVED <br />OCT 2 8 2002 <br />Division of Minerals and Geology <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,,-rec amation accomp isF-iea (o 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 your revised written annual report and annual report map to this form. Please note that 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 />Permittee Contact: David Diss <br />Permittee Name: Cotter Corporation <br />Address: P.O. Box 700 <br />-' Ptfone 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 [o the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report ins[mctions are <br />enclosed. <br />Signature of Corporate fficer, Owner, or Designee <br />Date <br />M:~PERMIi\MASTERDOCUMENTS/M-AF-02. DOC <br />