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sss <br />f/ ANNIIAi. FF.F. and RF,PORT RF.L7iTF.ST <br />~' JUN 16 2006 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/ Gold Eagle Mining, Inc. <br />M-1977-248 <br />C-JD-S <br />June 16, 2006 <br />RECEi~JED <br />J/ Division of Minerals and Geology <br />$550.00 (Due on or before your anniversary date) <br />Montrose <br />1'1'1 ~ZSfL- <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be Performed during the coming year, the dates for the_ _ _ <br />_- ~eginnirig o active operations and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anmral repprt and annnal rein m ~n to this Fnrm. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. i /~ ~/~,~G~ S' ~/Co f'~ C U/L,Cf~T ~ /.~ <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Don Coram <br />Permittee Name: Gold Eagle Mining, Inc. <br />Address: 845 E. Main St. <br />P.O. Box 3007 <br />Montrose, CO 81402 <br />Phone Number: (970) 249-0724 <br />Fax Number: (970) 249-3292 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />l ;~ <br />is? ~ <br />Signature of Corporate Officer, Owner, or Designee <br />/~/~ ~' <br />Date ~ <br />M: ~PERMIr{MASTEftDOCUMENT$M-ARO2. DaC <br />