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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t'q- k `4v <br />ANNUAL FEE and REPORT REOUEST <br />Cotter Corporation <br />M-1977-307 <br />CM-25 Mine <br />April 30, 2009 <br />RJECE <br />APR 0 6 2009 <br />Division of RecLmallp. <br />i rl g and Safely <br />$259.00 (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 shaltsubmit.the,annual_fee;_axeport-and-snap-showing-the-extent-ef-current-distur-banes 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 may 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 during the previous year and no <br />new changes 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 suffice 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: Cotter Corporation <br />Address: P.O. Box 700 <br />Nucla, CO 81424 <br />Phone Number: (970) 864-7347 <br />Fax Number: (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. i <br />Signature of Corporate Officer, Owner, or Designee <br />"'-? Zo?,'e <br />Date <br />M: \PERMITkNW TERDOCUMENTS/N I-AF-02. DOC