2017-11-14_REPORT - M1977410

• Permit No: M1977410
• IBM Index Class Name: Report
• Doc Date: 11/14/2017
• Doc Name Note: 2017
• Doc Name: Annual Fee/Report/Map
• From: Calais Resources Colorado, Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: AME
• Media Type: D
• Archive: No

Page 6 of 5
Division records indicate the following pennitteellandowner contact information (blank fields indicate that we do not have
information on record). if this information is blank or not current, please type orprint current contact information:
Permittee Contact:
Thomas S. Hendricks
Permittee Company:
Calais Resources Colorado, Inc.
Address:
P.O. Box 653
Nederland, CO 80466-0653
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
Permitting Contact:
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Company:
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Address:
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Phone Number:
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Fax Number:
Email Address:
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Inspection Contact:
Thomas S. Hendricks
Company:
Calais Resources Colorado, Inc.
Address:
4415 Caribou Rd.
P.O. Box 653
Nederland, CO 80466
Phone Number:
[phone]
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Fax Number:
Email Address:
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I, the undersigned,
being i:Londuc4ed in
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Sign,
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that the information provided in this report is true and accurate, and that site operations are
with the Division approved mining and reclamation plans.
Owner, or Documented Desienee
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Date