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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />'fq- + Rpr <br />ANNUAL FEE and REPORT REOUEST <br />Cotter Corporation <br />/M-1979-094-HR <br />JD-7 Pit <br />December 14, 2010 <br />$1,150.00 (Due on or before your anniversary date) <br />Montrose <br />ECENEQ <br />/ DEC 0 2 2010 <br />Division of Reclamation, <br />? E'?(n??J & 4?kfetf <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 />- - - -oReratorshall-submit-the=annua4=fee; a rrt=and map-shovAng- he_extent of current d_isturbarices 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 map 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 may 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Glen Williams <br />Permittee 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 />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M: \PERMITIMAS TERDOCUMENT S/M-AF-02. DOC