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<br />PERMTl"I'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~F ~ R~~ <br />ANNUAL FEE and REPORT REQUEST <br />Cotter Corporation t~ <br />M-1978-116 ~,/ <br />SM-18 Mine <br />October 30, 2007 <br />RECEIVED / <br />OCT 0 3 2007 " <br />Division of Reclamation, <br />Mining and Safety <br />$$633.00 (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, Yeclamation 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 vour revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durinti the previous year and no <br />new chanties to the previous year's map are necessary. then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may since for a written report. <br />Division records indicate the following petYnittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Glen Williams <br />Petmittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Cotter Corporation <br />P.O. Box 700 <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 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 />~~ W~L~S <br />Signature of Corporate Officer, Owner, or Designee <br />-~~iz, 27 <br />Date <br />M:~PERMITMASTERDOCUMENTSMI-AF-02.DOC <br />