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ANNTiAi. FF,F, and RF.PnRT RF.OTTFST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~/ Climax Molybdenum Company <br />~M-1977-342 <br />Henderson Mine <br />March 8, 2006 <br />QC S <br />~ECElVEp <br />'~ MAR 0 8 1006 <br />`~Ntriatot-af fAieerels and GeeloCl' <br />$1,000.00 (Due on or before your anniversary date) <br />Ciear 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 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, reclaimion that wihbe perform-du`nng the coming-- year, th~ates foi the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anneal rennrt and anneal report man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements 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: Fred J. Menzer <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) 569-2830 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />ignature of Corporate Off e , weer, or Designee <br />3 j 7 ~a ~ <br />Dace <br />M:~PERMI71MAS7ERDOCUMEMS/M-AF-02.DOC <br />