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~,~e <br />PERMITTEE NAME: <br />PERMTI' NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gold Eagle Mining, Inc. <br />M-1978-311 <br />Hawkeye Mine <br />February 15,2004 <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />R~C;~'V1f~~ <br />FEB f ~ 10~y <br />Division o} Minerals and Geology <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 />a-l~n ,reclamation accomplis ed to date and during the preceding year, new 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 attach vnnr revised written annual rennrt and anm~al rennrt man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. h/ U ~ r ~~ <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Don Comm <br />Permittee Name: Gold Eagle Mining, Inc. <br />Address: 845 E. Main St. <br />P. O. Box 3007 <br />Montrose, CO 81401 <br />Phone Number: (970) 249-0404 <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 aze <br />enclosed. <br />Signa r of orporate Officer, Owner, or Designee <br />a- ~~-off <br />Date <br />M:NERMIIIMASTERDOCUMEMS~M-AFA2.DOC <br />