2007-03-21_REPORT - M1977307

• Permit No: M1977307
• IBM Index Class Name: Report
• Doc Date: 3/21/2007
• Doc Name: Annual Fee/Report/Map
• From: Cotter Corporation
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ Cotter Corporation
~ M-1977-307
CM-25 Mine
Apri130, 2007
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$$225.00 (Due on or before your anniversary date)
Montrose

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
operatorshalLsubmit.the~nnttal fee,.a rep9.R_and maT_showin _ e extentof curcent_disturbances to.affected~ __ __
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associated map. If no new disturbances or reclamation have occurred during the previous veer and no
new chances to the previous year's man are necessary. then no new man is required. provided that the
Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly
delineates and includes the above elements may since for a written report.
Division records indicate the following pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Glen Williams
Permittee Name:
Address:
Cotter Corporation
P.O. Box 700
Nucla, CO 81424
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or 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 are
enclosed.
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Signature of Corporate Officer, Owner, or Designee
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Date
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M:~PERMI'IVNASTERDOCUMEMS/M-AF-02.DOC