2002-01-31_REPORT - M1983194 ‎(2)‎

• Permit No: M1983194
• IBM Index Class Name: Report
• Doc Date: 1/31/2002
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~
ANNUAL FEE and REPORT REQUEST
White River Nahcolite Minerals
M-1983-194
Nahcolite Project
January 31,2002
RECE-yE~
JAN 3 11002
Division of Minerals and 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 year, on the anniversary date of [he permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances [o affected
- land,-reclamation accomplistfed 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 your revised written annual report and annual reuort map to this form. Please note that an
adequately labeled map that clearly deline/fates and inchtdes the above ele/men/ts may suffice for a~Iwr/i~ten
report. ~I-/r ~rnn ~!iu/f u.tiC j"~Jd2~~ q~3 z~ l^ OP d 4~~- /*~4 °`'rT'r~~~~.
Division records indicate [he following permit[ee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ed Baker
Permittee Name: White River Nahcolite Minerals
Address: 3200 CR 31
-1~Brdwet~l2'^ .~? ~ e Py. _~`"aeuPf' /~
Rifle, CO 81650
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments 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.
Cam- ~c?/~/
Signature of Corporate Officer orpO~wner
V / ~~
Date
AI:~PERM nV.1ASTERD000AIENTS/A1-AF-0? DOC