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Op COQ ! <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />��' 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866 -3567 <br />ig76 <br />REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA <br />Please indicate if you are requesting: ❑ RECEIVED <br />FULL /FINAL RELEASE OF ENTIRE PERMITTED AREA <br />JAN 09?nlJ <br />ACREAGE REDUCTION (PARTIAL RELEASE) <br />If you are requesting an acreage reduction, you will need to specify how many acres you Nv1AU$(0ttCFdiFe�1, _''•'�' <br />from the existing permit under this revision. I wish to release 7500 acres fiItfiKlt .114- <br />You will also need to submit updated mining and reclamation plan maps that accurately depict both the <br />proposed acreage to be released from the current permit area, and the resulting new permit boundary. <br />File No.: M- 1980 -183 site Name: Pit 29 <br />County: Adams <br />Pernittee. Brannan Sand & Gravel Company <br />Operator (If Other than Permittee): <br />Permittee Representative: <br />Fred J. Marvel, P.E. <br />Certified Mail# <br />In accordance with Rule 4.17.1(2) the Operator shall include the names, addresses and phone numbers <br />of all owners of record to the affected land. Please attach additional sheets for this information if <br />required. <br />Bromley District Water Users, LLC <br />Robert Lembke <br />8301 East Prentice Ave <br />STE 100 <br />Greenwood Village, CO 80111 <br />303 - 773 -1005 <br />In accordance with Rule 4.17.1(4) the Operator or their agent MUST sign that they have complied with <br />the following statement: "All applicable portions of the Reclamation Plan requirements have been <br />s in accordance with these Rules and all applicable requirements under the Act." <br />January 9,2013 <br />gnature of Per ' tee, Operator or their authorized agent Date <br />Important: In accordance with Rule 4.17.1(3)This release request must be submitted to the Division <br />via certified mail and separate from any other correspondence to the Division. <br />