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ANNUAL FE nd REPORT RE UEST <br /> <br />PERMITTEE NAME: Natural Soda, Inc. <br />PERMIT NO.: VM-1983-194 <br /> <br />OPERATION NAME: Nahcolite Project <br />ANNIVERSARY DATE: January 31, 2011 <br />ANNUAL FEE DUE: $633.00 (Due on or before your anniversary date) <br />COUNTY: Rio Blanco <br />sa:j <br /> <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 your revised written annual report and annual report man 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 changes to the previous year's may are necessary, then no new may is required, 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: Bill H. Gunn <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Natural Soda, Inc. <br />3200 RBC 31 <br />Rifle, CO 81650 <br />(970) 878-3674 <br />(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 enclosed. <br />Signature of Corporate Officer or Owner <br />Date