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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: #303; 866-356; <br />FAX: (303) 832-8106 <br />COLORADO <br />D I V I S I O N OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, jr. <br />REGULAR (112d) DESIGNATED MINING OPERATION Governor <br />RECLAMATION PERMIT Harris D. Sherman <br />EXeW lve Dlrectar <br />APPLICATION FORM. Ronald W. Caitanv <br />Division Director <br />Natural Resource Trusree <br />CHECK ONE: - New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) <br />_- Conversion Application (Rule 1.11) <br />Permit No. M-19999--0&ovide for amendments and conversions of existing permits) <br />The application for a Regular (i 12d) Designated Mining Operation Reclamation Permit contains three major parts: (1) the application <br />forth; (2) Exhibits A-T, Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, as required by the Office, and <br />outlined in Rules 6.1, 6.2, 6.3, 6.4.19, 6.5, 8.0, and 1.6,2(1)(b); and, (3) the application fee. When you submit your application, be sure <br />to include one (1) signed and notarized original and four (4) copies of the application form, five (5) copies of Exhibits A-T, Rule 6.5 <br />Geotechnical Stability Exhibit, the Emergency Response Plan, Addendum 1, and a check for the appropriate application fee (described <br />under Section (4) on Page 2). Exhibits should not be bound or in a 3-ring binders; maps should be folded to 8 Y? X 1 I" or 8 %z" X 14" <br />size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/oyerator or companY.name (name to be used on permit): <br />American Soda L.L.P. <br />I,1 Type of organiration. (corporation, palttlcrsrip, etc.): Limited Liability Partnership <br />1.2 I.R.S. Tat 10 No. or Social Security Number: <br />2. Operation name (pit, mine or site name): Yankee Gulch Sodium Minerals Project <br />3. Permitted acreage: (new or existing site) <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit Area <br />49954-48 permitted acres <br />- 26.10 acres <br />4? 928.38 acres <br />Office of Office of <br />Mined Land Declamation Denver • Grand junction • Durango active and Inactive Mines