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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Calais Resources Colorado, Inc. <br />M-1977-410 <br />Cross Gold Mine <br />November 3, 2002 <br />~- <br />RECEIVED <br />NOV 0 5 2002 <br />$225.00 (Due on or before your anniversary date) Division of Minerals and Geology <br />Boulder <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 />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land,_reclamatinn_accomplished to-date_and-duringahe_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 vour revised written annual report and annual report map to this form. Please note that mt <br />adequately labeled map that efearly delineates and includes tlee above eletnents may suffice for a written <br />report. <br />Division records indicate the following permittee 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: <br />- --Phone-Number: <br />Fax Number: <br />Cross Mine Road <br />P.O. Box 653 -Caribou <br />Nederland, CO 80466 <br />(303) 258-3806 <br />(303) 258-0402 <br />t Thomas S. Hendricks <br />~ I Gold Miner <br />I ~ Calais Resources, Inc. <br />President & CEO <br />~`o--,. <br />Consolidated Carihou Precious Metats District-Colorado. U.S.A. <br />Nevada - Maohattau Project-Nevada, U.S.A. <br />Veragus District-Couulrq of Panama <br />P.O. Box 653 -Caribou • Nederland, CO 50466-0653 <br />Mine Office (303) 258-3806 • Fax (303) 258-0402 • Cell (303) 81 D-0642 <br />Home (303) 258-3953 • E-mail [homassh@earthlink.net <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ [o this form along with your written report and map. Annual Report instructions are <br />M:NERMI7IMASTERD000M F,NTS/M-AF-02. DOC <br />