REP15022

• Permit No: M1977493
• IBM Index Class Name: Report
• Doc Date: 3/3/2004
• Doc Name: Annual Fee/Report Notice
• From: Climax Molybdenum Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Climaz Molybdeuum Company
M-1977-493
Climax Mine
March 4, 2001'
RECEIVED
MAR 0 3 2004
Division of Minerals & GeoioDY
$1,000.00 (Due on or before your anniversary date)
Summit
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 t'ee, a report and map showing the extent of current disturbances to affected
(and, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, 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 anmral reTnrt and anneal report ma~tn this fnrm_ p/ease note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes: '
Permittee Contact: Fred Menzer
Permittee Name: Climax Molybdenum Company
Address:- Hwy. 91, Fremont Pass
Climax, CO 80429

Phone Number: [phone] ~ 7~
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
u, ~ti
Signatur/e of Col`p~rate Ofticer, per, or Designee
/ ~ / r'1 ~
Dat
M:~PERMRU9ASTERDOCUMEN75/M-AF-02.DOC