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Nov 08 05 12:34p Tom Hendricks <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-1977-41D <br />Cross Gold Mine <br />November 3, 2065 <br />$225.00 (Due on or before your anniversary date) <br />Boulder <br />p.2 <br />According to C.R.S. 34-32.5-116 or C.RS. 34-32-116, each year, on the anniversary date of the pemtit, an <br />operator shall submit the annual fee, a report and reap showing the extent of current disturbances to affected <br />]and, rcclamation-accomplished to date and during the preceding year, neu• disturbances thatare 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 mnr revised written anmial report and annual rennrt ma~~. fin his form. Please note That Wr <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Di~7sion 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: Cross Mine Road <br />P.O. Box 653 -Caribou <br />Nederland, CO 80466-0653 <br />Phone Number: (303) 258-3806 <br />Fax Number: (303) 258-0402 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />belpw or attach it to~(his form along with your written report and map. Annual Report instructions are <br />Owner, or Designee <br />303 258-0402 <br />ANNIIAI, FF.F, and RF.PnRT RF.niTFRT <br />i <br />Dare <br />