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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />ANNUALEr and REj4ORT REQUEST <br />#Climax Molybdenum Company <br />vlI_1977-493 <br />Climax Mine <br />March 4, 2009 <br />$$1,150.00 (Due on or before your anniversary date) <br />COUNTY: Summit <br />c?K <br />gas <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 map 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 necessarv, 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: 1furt?i <br />Permittee Name: Climax Molybdenum Company <br />Address: Climax Mine <br />Climax, CO 80429 <br />Phone Number: (719) 486-2150 <br />Fax Number: (719) 486-2251 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />beloyn? attach it to this form along with your written report and map. Annual Report instructions are <br />k/J <br />of ?orporate Officer, Owner, or Designee <br />-0- `aOo j <br />Date <br />`/ 3) a q <br />& U44S <br />M: PERMIT\MASTERDOCtJMENTS/M-AF-02.DOC