2010-10-28_REPORT - M1977410

• Permit No: M1977410
• IBM Index Class Name: REPORT
• Doc Date: 10/28/2010
• Doc Name: Annual Fee/Report/Map
• From: Calais Resources Colorado, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: MAC
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
F r I
ANNUAL Jand RE 0 T REQUEST
7 ? alais Resources Colorado Inc.
M-1977-410
Cross Gold Mine
November 3, 2010
$$259.00 (Due on or before your anniversary date)
Boulder
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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
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associated map If no new disturbances or reclamation have occurred during the previous year and no
new changes to the previous vear's map are necessarv, then no new map is required, provided that the
Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly
delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Thomas S. Hendricks
Permittee Name: Calais Resources Colorado, Inc.
Address: 4415 Cross Mine Road
Phone Number:
Fax Number:
If you have add
be w or attach
losed.
S?
Signature of Cc
?C
Date
P.O. Box 653 - Caribou
Nederland, CO 80466-0653
[phone]
[phone]
l comments and/or information that should be provided to the Division, please provide it
this form along with your written report and map. Annual Report instructions are
r
Officer, Owner, or Designee
0
M: PERMITIMASTERDOCUMENTS/N4-AF-02.DOC