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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Cotter Corporation <br />M-1977-308 <br />JD-7 Mine <br />May 31, 2003 <br />$225.00 (Due on or before your anniversary date) <br />Montrose <br />RECEIVE® <br />APR 2 8 2003 <br />Division or Minerals & Geoio~ <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 />- --- - - - <br />"operator shall-s66rnifthe annual fee; a-report and map showing f to xtent 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 ym~r revised written anneal red nrt and anneal report m ~n to this form- please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: David Diss <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 [he 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 O>~cer, Owner, or Designee <br />`( ~~ Oj <br />Date <br />M:IPERM1hMASIERDOCUMEMS/M-AF-0I.DOC <br />