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ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Climax Molybdenum Company <br />M-1977-342 <br />Henderson Mine <br />March 8, 2002 <br />MAR 0 7 2002 <br />Division of Minerals and Geology <br />$1,000.00 (Due on or before your anniversary date) <br />Clear Creek <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 [he annual fee, a report and map showing, the extent of current disturbances to affected <br />land, reclamation accomplished to date and during [he preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during [he 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 an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Tony Lucero. <br />' Permittee Name: Climax Molybdenum Company <br />Address: P.O. Box 68 <br />Empire, CO 80438 <br />Phone Number: (303) 569-3221 <br />Fax Number: (303) 569-2829 <br />If you have additional comments and/or information [hat should be provided to the Division, please provide i[ <br />below or attach i[ to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />.~~.0./_ ~? ~~ <br />Signature of Corporate Officer or Owner <br />~-~-off <br />Date <br />M:IPERM171MASTERD000MENTS/M-AF-02.DOC <br />