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• iii iiiiiiiiiiiii iii <br />ANNUAL REPORT <br />PERMITTEE NAME: Gold Eagle Mining, Inc. <br />PERMIT NO.: M-77-297 <br />OPERATION NAME: Burros Mine <br />ANNNERSARY DATE: November 29, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />• , <br />~~ <br />~~- <br />`. <br />G~ ~~~, <br />y"'~, ~~ ~L.. <br />'~ ,9 <br />.~ <br />~~ <br />~~ <br />COUNTY: San Miguel <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that :tre anticipated <br />to occur during the upcoming yeaz, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and [he date active operations ceased for thy: year, if any. <br />Please attach vour revised annual resort maa and written resort to this annual <br />CepOrl. Please note that an adequately labeled map that clertrly delineates and includes the above <br />elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone numt~er in the space <br />provided: <br />Contact Name: DON coram Company: Gold Eacle Mining, Inc. <br />845 E. Main Street Phone No.:f970- )249- 0404 <br />City, State Zlr MOTIrYl1cP,~n ul p1 Fax No.: (g7p ) 2r,o-3292 <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or- written <br />report. <br />No vemher 7h 1999 <br />Signature of Corpo to Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />