2004-02-03_REPORT - M1983194

• Permit No: M1983194
• IBM Index Class Name: Report
• Doc Date: 2/3/2004
• Doc Name: Annual Report
• From: Natural Soda Inc.
• To: DMG
• Permit Index Doc Type: Annual Reclamation Report
• Media Type: D
• Archive: No

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ANIVTJAi, FF,F, and RF.P(lRT RF(,~T1F.ST
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Natural Soda, Inc.
M-1983-194
Nahcolite Project
January 31,2004
FEB 0 3 2004
Division of Minerals & Geology
$550.00 (Due on or before your anniversary date)
Rio Blanco
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
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 attach ymn• revised written annnal ren^~?nd annnal rennrt maw to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ed Baker
Petmittee Name: Natural Soda, Inc.
Address: 3200 CR 31
Phone Number:
Fax Number:
Rifle, CO 81650
[phone]
If you have additional comments andlor 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.
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Signature of Corporate Officer, Owner, or Designee
Date
M:~PERMITVvIASTERDOCUMENTS/M-AF-OZ.DOC