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ANNUAL REPORT <br /> PERMITTEE NAME: Gold Eagle Mining, Inc. RECEIVE,) <br /> PERMIT NO.: M-1977-248 JUN T 6 2068 <br /> OPERATION NAME: C-JD-S Division of Minerals&Geology <br /> ANNIVERSARY DATE: June 16, 2000 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: Montrose <br /> According to C.R.S. 34-32-116(3)(a), 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 <br /> to affected land, reclamation accomplished to date and during the preceding year, new <br /> disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br /> performed during the coming year, the dates for the beginning of active operations, and the date <br /> active operations ceased for the year, if any. <br /> Please attach your revised annual report map and written retort to this annual report. <br /> Please note that an adequately labeled reap that clearly 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 number in the <br /> space provided:Contact Name: Do 1\/ i 4 fmil Company: 4;;�o L- !7 <br /> Address: Stf' C /l�h/.� Phone No.: ),-7- d 7a l <br /> XdA 3d e 7 FAX No.: (-/-7U)s21t �-I - j1 <br /> ri/ a yT�C6S E two �' <br /> If there are additional comments and/or information that should be provided to the Division. <br /> please provide it on a separate sheet and attach it to this report form along with your map and/or <br /> written r <br /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br /> M:`PER MITM ASTERDD(:UMENTSIM-AF-02.DDC <br />