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~ ~P <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />l/ ANNUAL FF.E and REPORT REQUEST <br />Gold Eagle Mining, Inc. <br />~M-1978-342 <br />Ellison Mine <br />February 15,2007 <br /> <br />®r+r- ~q F~"'-~ <br />P'S~~~ ~ <br />111,, fE8 15 2001 <br />ing snd S~+~'y <br />$$225.00 (Due on or before your anniversary date) <br />San Miguel <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 />_ --_operatorshallsubmit"the.annual"fee,.arepor[.and~ap"showing_the"extent ofcurrent,disturbances"to_affected _ _ <br />land, reclamation accomplished 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 vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durinc the previous veer and no <br />new chances to the previous year's map are necessary. then no new map is renuired, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. ~ <br />~a RdO ZTjaiu S o2 <'c/C!e'cT/aN S l~~ea~n C'u R ~fwT /~1 /¢ p <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: <br />Address: <br />Phone Number: <br />Fax Number: <br />Gold Eagle Mining, Inc. (GLD CRG-Gt /rl /.v/NG ,?'d1 c <br />845 E. Main St. /ly ~ (o I~i~/,t.E~' ~f/u~ I/ <br />P. O. Box 3007 - Pd do X 3~0 7 - <br />Montrose,CO 81401 ///nr1T.LdlF ~P ,~/SCO Z-- ~ <br />(970)249-0404 <br />(970)249-3292 <br />y ~u - S4G - alter s <br />97 0- as/9 - 0 7 3/ v <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attac it is form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of orporate Officer, Owner, or Designee <br />Date ~ <br />M:,PERMITU4ASTERDOCUMENIS/M-AF-02.DOC <br />