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ANNUAL FEE and REPORT REQUEST p <br />~~ ~ ~~ <br />PERMITTEENAME: ~CotterCorporation R~~i~11./I~~ <br />PERMIT NO.: M-1977-308 ~ qpR 2 3 20079) <br />OPERATION NAME: C-JD-7 ~ Division of Reclamation, <br />ANNIVERSARY DATE: May 31, 2007 Mining and Safety <br />ANNUAL FEE DUE: $$225.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date ofthe permit, an - - - <br />_ _- _ -operatorshall submittheannual_fee,. aseport.and map. showing.the extent o£currentdisturbances_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 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 man. If no new disturbances or reclamation have occurred during the arevious vear and no <br />new chances to the previous year's man are necessary. then no new man 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Glen Williams <br />Permittee Name: <br />Address: <br />Cotter Corporation <br />P.O. Box 700 <br />Phone Number: <br />Fax Number: <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 />Si ature of Corporafficer, Owner, or Designee <br />%~'/~'~7 <br />Date <br />M:~PERMITMASTERPOCUMENTS/M-AF-02.DOC <br />