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vll"- 1. Iv c_� tm -S C A-C f k ` co, k-� rJvi ✓ � x'11 ct ? . t Q q <br />7NW I b4"" <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 50 0� L <br />Denver, Colorado 80203 I <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: M- 1983 -194 <br />Operation Name: Nahcolite Project <br />Permittee Information <br />Contact Person: Robert Warneke <br />Company Name: Natural Soda, Inc. <br />Street Address: 3200 CR 31 <br />City: Rifle <br />State: Colorado <br />Phone: ( 970 ) 878 -3674 <br />zip: 81650 <br />Email (optional): warnekeb(aDnaturalsoda.com <br />Prospective Successor Information <br />Contact Person: Robert Warneke <br />Company Name: Natural Soda LLC <br />Street Address: 3200 CR 31 <br />City Rifle <br />State: Coloradoo <br />Zip: <br />81650 <br />COLORADO <br />DIVISION 01: <br />RECLAMATION <br />MINING <br />SAFETY <br />REECENED <br />2 2015 <br />Division of RegIon, <br />Minlflq # �- <br />�T;v <br />Phone:-( 970 ) 878 -3674 n 031 ' IS <br />Email (optional): warnekeb natural soda.com <br />ND mV if fi <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction - Durango Active and <br />Inactive Mines <br />