2006-07-13_REPORT - M1999002

• Permit No: M1999002
• IBM Index Class Name: Report
• Doc Date: 7/13/2006
• Doc Name: Annual Fee/Report Notice
• From: American Soda LLP
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
!/ ANNiIAi, FF.F, and RF.P(lRT RF.OiiF.ST
/~ American Soda, L.L.P.
~M-1999-002
Yankee Gulch Minerals Project
July 13, 2006
DECEIVED
~JUL 13 2006
r/61Vldldn 1f Minerals and GedW~/
$1,000.00 (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 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 ynnr revised written anneal rennrt and anneal rennrt m~ 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: Kevin Green
Permittee Name: American Soda, L.L.P.
Address: 2717 County Road 215
Parachute, CO 81635

Phone Number: __(970),285.6500
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.

Signature of Corporate Officer, Owner, or Designee
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Dale
M:~PERMITNIASTERDOCUMEMS/M-AF-02.DOC