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~ / <br />ANNiJ~, FECi. and REPORT Fni11F:ST <br />PERMITTEE NAME: `Natural Soda, Inc. <br />PERMIT NO.: ~ -198;~i 94 <br />OPERATION NAME: Nahcolite Project <br />ANMVERSARY DATE: -dA„•;~~9b' ~~,~ ~ I - ZC~v g <br />ANNUAL FEE DUE: $55U.00 {Dae on ar before yogy annilversary date} <br />DOUNTY: Rio Blanca <br /> <br />~AN 31 2005 <br />Di ~sion or Reclamation, <br />Mining and Safety <br />According to C.R,S. 34-32.5-116 or C.R.S. 34-32-116, each year, nn the anniversary date of the permit, an <br />operator shall submit the annual fee, a t1eport and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the erpcoming year, reclamation that will be performed during the Doming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />~(PAep att~cl__ X~ ~r r lend wrl n 9nnn 1 r ~jA,~(~,w~ptgn to this Pnrm_ please rrotellau! lYn <br />adequately labeled map drat clearly delineates arrJ includes the above elements may srt~ce for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make atay necessary <br />changes: <br />Prrrnittee Contact: B I ~L• !7 • C3 UN/~/ <br />Permitter Name: Natural Soda, lnc. <br />Address: 3~ O0 R B L <br />Rifle, CO 8 ] b5U <br />Phone Number: (970} 878-3674 <br />Fax Number: q~fO- g'~'~"' Sg66 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br /> <br />Signature of Corporate Officer, Owner, or Designee <br />Dace <br />M PsruwrMns-ir:~oCVnerri r5~ae-nt-u2.noc <br />