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THM GRM STATE OF COLOMDO <br /> M-1983-194 AM0 <br /> v Annual Fee/R 4 eport: CW <br /> J No Violations <br /> MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 COL O R A D D I V I S 10 N O F <br /> Phone:(303)$66-3567 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> REGULAR(112d)DESIGNATED MINING OPERATION <br /> RECLAMATION PERMIT RECEIVED <br /> APPLICATION FORM <br /> MAY 231017 <br /> CHECK ONE: F7 New Application(Rule 1.4.5) Amendment Application(Rule 1.10) DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> Conversion Application(Rule 1.11) <br /> Permit No.M-1983 194 (provide for amendments and conversions of existing permits) <br /> The application for a Regular(I12d)Designated Mining Operation Reclamation Permit contains three major parts: (1)the application form; <br /> (2)Exhibits A-T,Geotechnical Stability Exhibit,the Emergency Response Plan,and Addendum 1, as required by the Office,and outlined in Rules <br /> 6.1,6.2,6.3,6.4.19,6.5,8.0,and 1.6.2(i)(b);and,(3)the application fee. When you submit your application,be sure to include one(1)signed and <br /> notarized original and four(4)copies of the application form,five (5) copies of Exhibits A-T,Rule 6.5 Geotechnical Stability Exhibit,the <br /> Emergency Response Plan,Addendum 1,and a check for the appropriate application fee(described under Section(4) on Page 2). Exhibits should <br /> not be bound or in a 3-ring binders; maps should be folded to 8 ''A" X i I" or 8 `A" X 14" size. To expedite processing, please provide the <br /> 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. Awlicant/onerator or comnanv name(name to be used on permit): <br /> Natural Soda LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 1.2 I.R.S.Tax ID No.or Social Security Number: <br /> 2. Operation name(nit,mine or site name). Natural Soda NahCOlite Mine <br /> 3. Permitted acreage:(new or existing site) 8,379 permitted acres <br /> 3.1 Change in acreage(+) 3,869 acres <br /> 3.2 Total acreage in Permit area 12,248acres <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines <br />