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.~ re; ~ <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-1977-305 <br />CLP-21 Mine <br />March 31, 2002 <br />RECEIVE® <br />MAR 0 6 2002 <br />Division of Minv~at~ ..~~~' aolo9Y <br />$550.00 (Due on or before your anniversary date) <br />Montrose <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,~reciatnation accomplished to dale and during the preceding yea% new disttrbances 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 [he 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 suffice 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: Colter 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 />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it [o this form along with your written report and map. Annual Report instmctions are <br />enclosed. <br />Signature of Co~ orate Officer or Owner <br />a,~~6/ <br />Date <br />M:~PERMIT\MASTERD000M ENTS/M-AF-O?.DOC <br />