REP48493

• Permit No: M1977297
• IBM Index Class Name: Report
• Doc Date: 12/1/2003
• Doc Name: Annual Fee/Report Notice
• From: Gold Eagle Mining Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Gold Eagle Mining, Inc.
M-1977-297
Burros Mine
November 29, 2003
$225.00 (Due on or before your anniversary date)
San Miguel
~~~~o~~®
DEC 0 S 2003
~ivisian of Minerals and Geolon~
ccording 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
operator shalt submit the annual fee, a report and map showing t e extent of current 3istuibanc'esZ"o affet'ted
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 note that an
ade uately labeled map that clearly delineates and includes the above lements may suffice for a written
rep rt. ,~/o r/f/}A/6d S rR0 e i Cv ~' .t eN r fns- P
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 81401
Phone Number: [phone]
Fax Number: [phone]
If you have additional cotnments and/or 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.
Sig ature Corporate Officer, Owner, or Designee
-Zv/o3
Dale
M:\PERM ITMASTERDOCUM ENTS/M-AF-02. DOC