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/T <br /> �n <br /> ."gl <br /> COLORADO DIVISION OF RECLAMATION MINING AND SAFETY <br /> # s s � 1313 Sherman Street, Room 215, Denver,Colorado 80203 ph(303)866-3567 <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 <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 47.25 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- 1979-191 site Name:Three Bells Mine <br /> County: Larimer RECEIVED <br /> Permittee: <br /> Martin Marietta Materials, Inc. <br /> 2014 <br /> Operator(If Other than Permittee): N/A Division of R riamatien, <br /> . <br /> Permittee Representative <br /> GEI Consultants, Inc. Mining BSafety <br /> Certified Mail# 7V� /g 2a 00 d Z I cc L <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 /> Graves Brenda K/John D; 6324 S. County Rd. 3, Ft. Collins, CO 80528; (970) 381-3759 <br /> Graves William J/April Lynn; 6201 S. County Rd. 3, Ft. Collins, CO 80528; <br /> (970) 222-5724 <br /> 4:t4x - E zz�" ev — <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 accorda with these Ies and all applicable requirements under the Act." <br /> / October 6, 2014 <br /> Signature ermittee, �erator or their authorized agent Date <br /> Important. In accordance with Rule 4.17.10This release request must be submitted to the Division <br /> via certified mail and separate from any other correspondence to the Division <br />