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~QP~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNTiAT, FF.F, and REPORT RF.TTi1F.ST <br />l/ Gold Eagle Mining, Inc. <br />;/ M-1978-311 <br />Hawkeye Mine <br />February 15,2006 <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />RECEIVEL/ <br />~ ~ ~ H 5U~6 <br />'~t)iWSron of Minerals and Caaalopy <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 cunent disturbances to affected <br />-land; reclamaTion ac`complished'to da- fe and during fhe preceding yeaz, new df`s of rban- ces-tlrai are`anfici~eR'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 ylytr revised written annnal report and annnal ~nrf mad to Chic form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. ~/6 ~'~[~~, ~E S /~~ 6i~ t~G,(,lf.~% /f'1~ S 1/ <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Don Coram <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 are <br />enclosed. <br />~~~ <br />S ature of Corporate Off e , weer, or Designee <br />Date <br />MiPERMI'IIMASTERDOC[IMEMS/M-AF-02.DOC <br />