2009-01-12_REPORT - M1983194

• Permit No: M1983194
• IBM Index Class Name: REPORT
• Doc Date: 1/12/2009
• Doc Name: Annual Fee/Report/Map
• From: Natural Soda, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
4AVVALaSt V'-
-e-ANNUAL FEE and REPORT REOUEST

Natural Soda, Inc.
M-19831983-194
Nahcolite Project
January 31, 2009
RECE WE®
,/ JAN 12 2009
®ivision of R®oiamation,
Y Mining and Safety
$633.00 (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
w operator=shall-submit4he-annual fe -,-a-reportand-maP_showing=the-extent?e£euff-ent4istw'; &f * a --
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 vour revised written annual report and annual report man to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associated map. If no new disturbances or reclamation have occurred durine the previous year and no
new changes to the previous vear's map are necessarv, then no new map is reauired. provided that the
Operator shall state this in the Annual Report. 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: Bill H. Gunn
Permittee Name
Address:
Phone Number:
Fax Number:
Natural Soda, Inc.
3200 RBC 31
Rifle, CO 81650
[phone]
[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
:enc11(os)sedV
Signature of Corporate Officer, Owner, or D ignee
121416 1106V
Date
M:\PERMIr\MASTERDOCUMENTS/M-AF-02.DOC