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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> C O L O R A D O <br /> 1313 Sherman St.,Room 215 5 O <br /> Denver,Colorado 80203 / ]DIVISION o F <br /> I <br /> RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION = <br /> Permit Information FEB 12 2015 <br /> Permit Number: M-1999-051 ©ivion of <br /> Operation Name: Rock School Lease Experimental Nahcolite Mine <br /> Permittee Information 1L <br /> Contact Person: Robert Warneke ACT <br /> Company Name: Natural Soda, Inc. <br /> Street Address: 3200 CR 31 <br /> city: Rifle <br /> State: Colorado Zip: 81650 <br /> Phone: ( 970 ) 878-3674 <br /> Email (optional): Warnekeb(D_naturalsoda.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 Zip: 81650 <br /> Phone: ( 970 ) 878-3674 ✓ 28'15 <br /> Email (optional): warnekeb@natural soda.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />