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GP-~ ~ <br />RECEIVED <br />ANNr(Ai. FF.F, and REPORT RF,(~irFC'r APR 2 7 2004 <br />Division of Minerals & Geology <br />PERMITTEE NAME: Cotter Corporation <br />PERMIT NO.: M-1977-307 <br />OPERATION NAME: CM-25 Mine <br />ANNNERSARY DATE: April 30, 2004 <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUN'T'Y: Montrose <br />According .to C.R.S. 34-32.5-]16 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 vrnur revised written annnal reTnrt and annnal r~pn M 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: Bavid-Hiss <br />Permittee Name: Cotter Corporation <br />Address: P.O. Box 700 <br />Nucla, CO 81424 <br />Phone Number: <br />Fax Number: <br />(970)864-7347 <br />(970)864-7287 <br /> <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 Corporate~6,~ficer, Owner, or Designee <br />15 jy <br />Dat~ <br />M:NEAMIT~MASTERDOCUMENTS/M-AF-02.DOC <br />