2005-02-28_REPORT - M1999051

• Permit No: M1999051
• IBM Index Class Name: Report
• Doc Date: 2/28/2005
• Doc Name: Annual Fee/Report/Map
• From: Natural Soda Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVEp
FEB 2 8 ~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNP/ERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Natural Soda, Inc.
M-1999-051
Division of Minerals and Geology
Rock School Lease Experimental Nahcolite Miue
February 28, 2005
$550.00 (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
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
- _ __ 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 peifonned during fhe coming year; the dates for the- --
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ~r revised wri ten annnal r Wort and annnal re~nrt m n this form. Please dote that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report. Annual map is the same as copy submitted in 2001. No activity in 2004 or
planned activity for 2005.
Division records md~cate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact; Ed Baker
Permittee Name: Natural Soda, Inc,
Address: 3200 CR 31
Rifle, CO 81650
Phone Number: [phone]
Fax Number: [phone]
3200 RBC 31 Road
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
enclosed.
L~~l/~i
Sigtature of Corporate Ofticer, Owner, or Designee
~ , a5 . ~~ S
Date ~
M:IPERMITU-fASTERDOCUMEMSMI-AF-02.DOC