2001-12-15_REPORT - M1978342

• Permit No: M1978342
• IBM Index Class Name: Report
• Doc Date: 12/15/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Gold Eagle Mining, Inc.
M-1978-342
Ellison Mine
February 15,2001
$225.00 (Due on or before your anniversary date)
San Miguel
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]i~~isinr or Minerels -nd Scnlon
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he attrtiversary• date of the permit, an
operator shall submit [he annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during [he upcoming }•ear, reclamation that will be performed during the coming year, [he dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. Please node that an
adequately labeled Wrap that clearly delineates and includes the nbore elements may s+effice for a written
report.
Division records indicate the following permittee contact information. Please verify and make arty necessary
changes:
Permittee Contact: Don Coram
Permittee Name: Gold Eagle Mining, Inc.
Address: 845 E. Main St.
P.O. Box 3007
Montrose, CO 81401
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
.~
Sig ature~of~,C~orp~orate Officer or Owner
Date
.N PERE11Th1A5TE RDOCUSIENTS-A1~AF~0? DOC