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rlvl <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />m~- <br />~ ~ ~io o~ <br />ANNUAL FEE and REPORT REQUEST <br />t/ Cotter Corporation <br />~M-1984-014 <br />C-JD-8 <br />//~S~N 2;; ZUtlo <br />Division of Reclamation, <br />Mining and Saf3';y <br />October 10, 2006 <br />$550.00 (Due on or before your anniversary date) <br />Montrose <br />- -- -Accordingto C.R:S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the perrnit, an <br />operator shall submit the annual Fee, a report and map showing the extent of current disturbances 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 resort and annual report maa to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, resort, and <br />associated maa. If no new disturbances or reclamation have occurred during the previous vear and no <br />new chances to the previous year's moo are necessary, then no new mau 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 />Nucla, CO 81424 <br />Phone Number: (303) 864-7347 <br />Fax Number: (970) 864-7287 <br />If you have additional comments and/or informafion 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 />~~ ~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />9-~r-o~ <br />Date <br />M:~PERMITMASTERDOCUMENTS/M-AF-02.DOC <br />