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<br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Gold Eagle Mining, Inc. <br />M-1978-342 <br />Ellison Mine <br />February 15, 2003 <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />RECEIVED <br />FEB 141003 <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_shawing_the_extent of current_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 your revised written annual rennrt and annual re~nrt masn, 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. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pennittee 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 ~ T <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 />f <br />Signature "f "orate Officer, Owner, or Designee <br />~//a /O 3 <br />Date <br />M:~PEAMITNIASTERDOCUMENTS/M-AF-02. DOC <br />