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<br /> <br />F- <br />PERMITTEE NAME: Gold Eagle Mining, Inc. <br />PERMIT NO.: M-1977-248 JUN 16 2004 <br />OPERATION NAME: C-JD-S Uivisian of Minerals & Caolapy <br />ANNIVERSARY DATE: June 16, 2004 <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <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 />landrreclamation-accomplislied_to_date_and_dn~ th~nreceding_year. ngw 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 attarh y~rr revis d wri ten anmral r port and anneal report martn this form. please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />repor~o ~y~N~~s ~.~ ~ /r"t ~r/~'.~`C.v % /y1gPs <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Don Coram <br />Permittee Name: Gold Eagle Mining, Inc. <br />Address: 845 E. Main St. <br />P.O. Box 3007 <br />Montrose, CO 81402 <br />Phone Number: (970) 249-0724 <br />Fax Number: (970) 249-3292 <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 />~~ <br />Signature of Corporate Officer, Owner, or Designee <br />Dale ~~ <br />M:IPERMI'ICI.IASTERDOCLIMENTSRd-AF-02.DOC <br />