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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Release, Acreage Reduction, and Surety Reduction Notices Checklist <br />Operator: Bucklen Equipment Company, Inc. <br />Mine Name: Bucklen Equipment Company Pit <br />Permit Number: M- 1982 -131 <br />Dat<-2 /3/14 _ __ - -- <br />Specialist: PSH <br />SR -01 <br />Ce ♦ County Commissioners <br />Specify County: Weld <br />�1 Soil Conservation District <br />Specify SCD: West Greeley <br />C�/+ Land Owner(s) <br />Name: Randy Bucklen <br />Address: Bucklen Equipment Company <br />804 N 25th Ave <br />Greeley, CO 80631 <br />LJ' Water Resources (If there is exposed groundwater) <br />EPS Circle One: (P J N <br />♦ - Receive one paper copy of Application form, Legal Description and Location Map <br />