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ANNUAL FEE and REPORT REQUEST ~ "`~ <br />FEB 2 7 2008 <br />'~ c`~,mat~on, <br />EE NAME: Natural Sod Inc. ~~/ ' is-on a~ Ke <br />PERMITT a, prv and Safety <br />/ {dining <br />PERMIT NO.: M-1999-051 <br />OPERATION NAME: Rock School Lease Experimental Nahcolite Mine <br />ANNIVERSARY DATE: ~wl~ra~g~38s-~A93 ~Q~rj. ~-~ ~ Z ~ ~ <br />ANNUAL FEE DU]E: ~ ~ 3 3 ^ (Due on or before your anniversary date) <br />COUNTY: Rlo Blanco <br />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 <br />operator shall submit the annual fee, a report 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 upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual resort mau to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee. renort. and <br />associated mau. If no new disturbances or reclamation have occurred during the arevious veer and no <br />new changes to the previous year's map are necessary. then no new mau is required. urovided that the <br />Ouerator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indlicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: 62 ~ (I 1] C~ L C ~ ~,.~ <br />~ C~el1 ~ QED ` 94$ -09 0~ <br />Permittee Name: Natural Soda, Inc. <br />Address: 3200 RBC Rd. 31 <br />Rifle, CO 81650 <br />Phone Number: (970) 878-3674 ~' ig4`~ <br />Fax Number: (970) 878-5866 <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 />Signature of Corpol to O cer, Owner, or Designee <br />~~ <br />Date <br />M:wexr~rnMns~xnocvty~Errrsms-nF-0z_ooc <br />