2004-11-17_REPORT - M1977410

• Permit No: M1977410
• IBM Index Class Name: Report
• Doc Date: 11/17/2004
• Doc Name: Annual Fee/Report/Map
• From: Calais Resources Colorado Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ivOV ~i ; ?C04
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Calais Resources Colorado, Inc.
M-1977-410
Cross Gold Mine
November 3, 2004
$225.00 (Due on or before your anniversary date)
Boulder
llicision df Mir.:•-1.~ & ^-'ofa9tl
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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected
_ _- _ land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for the - ~"
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anneal report and anneal report map to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Thomas S. Hendricks
Permittee Name: Calais Resources Colorado, Inc.
Address: Cross Mine Road
P.O. Box 653 -Caribou
Nederland, CO 80466-0653
Phone Number: [phone]
Fax Number: [phone]
~rn
If you have additional comments and/or information that should be provided to the Division, please provide it
bellow or attach it to J~»s form along with your written report and map. Annual Report instructions are
of Corporate ~fficer, Owner, or Designee
Date
M: WERMITUrASTERDOC[1MENTS/M-AF-02.DOC