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C.0Z <br /> " 9g <br /> * COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> H � n <br /> *, � 1313 Sherman Street,Room 215,Denver,Colorado 80203 p (303 866-3 <br /> �a�s 1 �—C <br /> ' Cl <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA <br /> Please indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA El <br /> ACREAGE REDUCTION (PARTIAL RELEASE) _ <br /> If you are requesting an acreage reduction, you will need to specify how many acres you wish to remove <br /> from the existing permit under this revision. I wish to release 4.00 acres at this time. <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- 1978-283 Site Name: Sand Arroyo <br /> County: Huerfano <br /> Permittee: The Walsenburg Sand and Gravel Company. <br /> Operator(If Other than Permittee): Same <br /> Permittee Representative: Gary Vezanni <br /> Certified Mail# 7011 1570 0002 1521 0535 <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 /> Louis & Evelyn Vezanni, P.O. Box 811, Walsenburg, CO 81081 , 719-738-1883 <br /> RECEIVED <br /> 'JUL 30 2114 <br /> OMt M OF RECLAMATION <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 /> satisfied in accord ce with these Rules and all applicable requirements under the Act." <br /> 7 Ld <br /> Signature of Permittee, Operator or their authorized agent Date <br /> Important.• In accordance with Rule 4.17.10This release request must be submitted to the Division <br /> via certirted mail and separate from any other correspondence to the Division. <br />