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hq <br />ANNUAL FEE and REPORT REOUEST <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-1990-057 <br />Hopemore Shaft <br />June 18, 2009 <br />RECEIVED <br />JUN 16 2009 <br />Division of Reclamation, <br />Mining and Safety <br />$259.00 (Due on or before your anniversary date) <br />Lake <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, 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 may to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new chanEes 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 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: 4185 Caribou Road <br />Nederland, CO 80466 <br />Phone Number: (303) 258-3806 <br />Fax Number: <br />If you have additio al comments d/or information that should be provided to the Division, please provide it <br />below or attach `t t this form alo with your written report and map. Annual Report instructions are <br />enclosed. <br />S. <br />Signature of r, O per, or Designee <br />C? U*-t d S , Date <br />M:\PERAlrnMASTERDOCUMENTS/M-AF-02.DOC