Laserfiche WebLink
1 <br />-/ Oy V["' <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />~GOId Eagle Mining, Inc. <br />1978-311 <br />Hawkeye Mine <br />February 15, 2008 <br />i I <br />REC VED <br />~FEB 19 200€ <br />Division or Reclamation, <br />--~" Mining and Safety <br />$$259.00 (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 />_ _ _ operator shall. submit_the annual. fee, a repor-t_and_map showing the. extent of c-urgent distur-banees to-affeoted- - <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 your revised written annual report and annual report man 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 durinE the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required provided that the <br />Operator shall state this ~n the Annual Report Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice or a written report. <br />~/U ~D///7/ors opt.- ~~QL£cT/oNS ~ ~~~t ~t"~T ~~ <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: P.O. Box 3007 <br />845 E. Main St. <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 a ac ~ to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />2,//j~z~~ ~" <br />Date T-' <br />M:IPERMITIMASTERDOCUMENTS/M-AF-02. DOC <br />