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ANNUAL FEE and REPORT REOUEST <br />PERM[TTEE NAME: Natural Soda, Inc. <br />PERMIT NO.: i M•1999-051 <br />OPERATION NAME: Rock School Lease Experimental Nahcolite Mine <br />ANNIVERSARY DATE: February 28, 2010 <br />ANNUAL FEE DUE: $633.00 (Due on or before your anniversary date) <br />COUNTY: ' Rio Blanco <br />REML-WEEED <br />? FEB 0 "0 7010 <br />Division or Keciamation, <br />Mining and Safety <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 currant 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 may to this form. The Annual <br />Report & Fee requkment is not met until we have received the following components: fee, report6 and <br />Operator shall state this in the Annual Report. Please note that an adequately labeled snap 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: <br />I 'P? i 1y 1A. <br />Permittee Name: Natural Soda, Inc. <br />Address: 1+3200 CR 31 <br />I - <br />CO 81650 <br />Phone Number: <br />Fax Number: <br />If you have addition <br />below or attach it to <br />enclosed. <br />Signature of <br />878-3674 <br />878-5866 <br />comments and/or information that should be provided to the Division, please provide it <br />is form along with your written report and map. Annual Report instnictions are <br />Officer, Owner, or Designee <br />Date