REP33194

• Permit No: M1977248
• IBM Index Class Name: Report
• Doc Date: 6/16/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
J
ANNiIAi, FF.F, and RF.PnRT RF.Of1F.ST
Gold Eagle Mining, Inc.
M-1977-248
C-JD-S
June 16, 2003
RECEIVE®
JUN t 6 2003
Division of Minerals anA GBOIOgy
$550.00 (Due on or before your anniversary date)
Montrose
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
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
--land, reciam'ation accomphshe3 to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attachxnnr revised written anneal rennrt and anneal rr~rt m ~n to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report. ,{/6 ~? l~U ~ ~' Y ~i( o/h ~G~,E'F.~r ~~~
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Don Coram `
Permittee Name: Gold Eagle Mining, Inc.
Address: 845 E. Main St.
P.O. Box 3007
Montrose, CO 81402
-P-bone-Numbe=;-(-970) 249-07-24
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.
Signature of Corporate ffi r, Owner, or Designee
~~j~G~
Da~e 7
MaPERMITMASTERDOCUMENTS/M-AF-02. DOC