2017-03-08_REPORT - M1977493

• Permit No: M1977493
• IBM Index Class Name: Report
• Doc Date: 3/8/2017
• Doc Name: Annual Fee/Report/Map
• From: Climax Molybdenum Company
• To: DRMS
• Annual Report Year: 2017
• Email Name: ECS
• Media Type: D
• Archive: No

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Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have E
information on record). if this information is blank or not current,please type or print current contact information: a
Permittee Contact: Raymond Lazuk
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Permittee Company: Climax Molybdenum Company
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Address: Highway 91,Fremont Pass
Climax,CO 80429
Phone Number: [phone] E
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Fax Number: [phone] k
Email Address: [e-mail]
[e-mail]
Permitting Contact: Raymond Lazuk
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Company: Climax Molybdenum Company,
Climax Mine
Address: Highway 91-Fremont Pass
Climax,CO 80429 i
Phone Number: [phone]
Fax Number: [phone] >'
Email Address: [e-mail] [e-mail]
Inspection Contact: Raymond Lazuk
Company: Climax Molybdenum Company,
Climax Mine
Address: Highway 91,Fremont Pass
Climax,CO 80429 r
Phone Number: [phone]
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Fax Number: [phone]
Email Address: [e-mail] [e-mail] t/
1,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are
being conducte rdance ' he Division approved mining and reclamation plans. j.
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Signature of Permittee.Corpo to Officer,Owner,or Documented Designee Date r
M-AF-02
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