2005-06-15_REPORT - M1977248

• Permit No: M1977248
• IBM Index Class Name: Report
• Doc Date: 6/15/2005
• Doc Name: Annual Fee/Report Notice
• From: gold eagle mining inc
• To: dmg
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Gold Eagle Mining, Inc.
M-1977-24& SSS
C-JD-S
June 16, 2005
RE~EI yE®
JUN 15 Y0D5
Division of Minerals and Geology
$550.00 (Due on or before your anniversary date)
Montrose
According to C.R.S. 34-32.5-ilb or~~.R.S:-3432-11'b'-each year, on-the~anniversarp-dste-of-the-permit,-an
operator shall submit the 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 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 attach ~nur revised written annnal red nrt and anmral re~nrf ma= to this form. Please r7ote chat an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report. ~/
N~ U (' ~G~'S' ~iC ~ ~'trl ~V /L~CE.v i _
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
Phone Number: - [phone]
Fax Number; [phone]
If you have additional comments andfor 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 Officer, Owner, or Designee
Dat~~~ ~~