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05/23/2011 08:45 9709547287 COTTER CORP NUCLA PAGE 03/03 <br />,A 1= j- ter <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTER NAME: Cotter Corporation RECEIV <br />PERMIT NO.: / M-1977-308 MAY 2 4 2011 <br />OPERATION NAME: C-JD-7 Qivfsion of Reclamation, <br />ANNIVERSARY DATE: May 31, 2011 Mining and Safaty <br />ANNUAL FEE DUE: $518.00 (pue on or before your anniversary date) <br />COUNTY: Montrose <br />_ Accordin_gto 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 trap slowing the rXtent 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 your revised written annual report and annual report ma 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 />neu 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 vvritten report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pennittee Contact: Glen Williams <br />Permittee Name: Cotter Corporation <br />Address: P.O. Box 700 <br />Nucla, CO 81424 <br />Phone dumber: (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. <br />Sej?ature of Corporate Officer; Owner, or Designee <br />rat <br />ca, pr.RA-fITV4rAS?E?D?X_rJInn,Sm. l-nf-o2.DOc