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999 <br /> ANNUAL FEE and REPORT REQUEST RECEIVEJ) <br /> Ff3 0 <br /> PERMITTEE NAME: Joseph L. and Arlene Cogan Uiri l ?OQl <br /> PERMIT NO.: M-1998-091 stun ul Minerals and 6eelagY <br /> OPERATION NAME: Arnold Gulch <br /> ANNIVERSARY DATE: February 19,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Chaffee <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 accontpli shed-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 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: Joseph L. Cogan <br /> Permittee Name: Joseph L. and Arlene Cogan <br /> Address: 24899 U.S. Hwy. 285 <br /> P.O. Box 113 <br /> Nathrop, CO 81236 <br /> Phone Number: (719)395 2339 <br /> Fax Number: <br /> r 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 /> (en akl%� <br /> Sigdature of Co porate Officer or Owner <br /> Date <br /> M'TER M INNASTERDOCUNIENTSW-AF-01 <br />