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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />r <br />FE{E and PORT REQUEST <br />* ax Molybdenum Company <br />kZl77-342 <br />Henderson Mine <br />March 8, 2011 <br />C>L_" <br />RECEIVED <br />MAR082Oil <br />Division of Reclamation, <br />7? Mining & Safety <br />$$633.00 (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-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 may 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: Bryce Romig <br />Permittee Name: <br />Address <br />Phone Number: <br />Fax Number <br />Climax Molybdenum Company) 41f o?fdSa.? ?//!K <br />P.O. Box 68 <br />Empire, CO 80438 <br />(303) 569-3221 <br />(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 />encZse <br />? <br />r cc , u?iCd?,t? 12-e <br />ignature of Corpo to ficer, Owner, or Designee <br />2/Zv Jl? <br />Date r <br />M:IPERMITMASTERDOCUMENTS/M-AF-02.DOC