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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ ANNUAL FEE and REPORT REQUEST <br />!/ Calais Resources Colorado, Inc. <br />M-1977-410 <br />Cross Gold Mine <br />November 3, 2006 <br />RECEIVED <br />~~~ tunv r s inns <br />:/bivision of Reclamation, <br />Mining and Safety <br />$225.00 (Due on or before your anniversary date) <br />Boulder <br />j1~~6 <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 <br />- -- - operatar shall-submit-the°annual-fee~ reportattd-map°showing-t}te-e~ctentafcarrent distarban~es-ta-affectezl -' -' - - <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, resort, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new chances to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Thomas S. Hendricks <br />Permittee Name: Calais Resources Colorado, Inc. <br />Address: Cross Mine Road <br />P.O. Box 653 -Caribou <br />Nederland, CO 80466-0653 <br />Phone Number: <br />Fax Number: <br />If you hay dd <br />bel~iw or a ac <br />(303) 258-3806 <br />(303)258-0402 <br />tional comments and/or information that should be provided to the Division, please provide it <br />it to this form along with your written report and map. Annual Report instructions are <br />Officer, Owner, or Designee <br />Date <br />M:NERM171MASTERD000MENTS/M-AF-02. WC <br />