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~bwl <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />i/ ANNiTAi, FF.F, and REPORT RF.t~iJF,ST <br />Joseph L. and Arlene Cogan <br />M-1998-091 <br />Arnold Gulch <br />February 19, 2006 <br />RECEI!!ED <br />/ JAN 3 0 2006 <br />1/ Division of Minerals and Geology <br />$281,00 (Due on or before your anniversary date) <br />Chaffee <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 operator <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Phase attach ~m~r revised written anneal report and anm~al report m.1p to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffece for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Joseph L. Cogan <br />Permittee Name: Joseph L. and Arlene Cogan <br />Address: P.O. Box 113 <br />Nathrop, CO 81236 <br />Phone Number: (719) 395-2339 <br />Fax Number: <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 enclosed. <br />i ature of Corporate Offices weer, or Designee <br />~3 ~,,,,,'o ~ <br />Dat <br />