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A,F A- ?f r- <br /> ANNUAL FEE and REPORT REOUEST <br /> <br />PERMITTEE NAME: American Soda, L.L.P. <br /> / <br />?® <br />PERMIT NO.: M-1999-002 ? <br />OPERATION NAME: Yankee Gulch Minerals Project ? JUL 16 2009 <br />ANNIVERSARY DATE: <br />? <br />July 13, 2009 Dt4im oo act , <br /> Mintng <br />ANNUAL FEE DUE: $1,150.00 (Due on or before your anniversary date) <br />COUNTY: Rio 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-submitthe-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 your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new chances to the previous year's map are necessary, then no new map is reauired. provided that the <br />Operator 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 indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Todd Wilson <br />Permittee Name: American Soda, L.L.P. <br />Address: 2717 County Road 215 <br />Parachute, CO 81635 <br />Phone Number: (970) 285-6500 <br />Fax Number: (970) 285-6393 <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 Corporate Officer, Owner, or Designee <br /> <br />Date <br />M:\PERMIT Uv ASTERDOCUMENTS/M-AF-02.DOC