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,:!�a Cl/ <br />OF CptO <br />9 <br />.e 8 COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />13) 3 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 Z <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 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.: _ SiteName:Garibaldi Waste Dump <br />County: Lake <br />Permittee: New West Reclamation, LLC <br />Operator (If Other than Permittee): <br />Permittee Representative: <br />Thomas J. Wiens <br />Certified Mail# 7012 3050 0001 8657 9925 <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 />Claim (s): Lady Crawford (M.S. Claim Number 1870), Ohio Bonanza (M.S. Claim 3109), <br />Talisman #2 (M.S. Claim 1933) <br />Contact: Bob Elder <br />719- 486 -1244 <br />310 W Eighth St. Leadville, CO 80461 -3532 <br />_ AF & Report <br />No Violations <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 accordance wit these Rules and all applicable requirements under the Act." <br />.;V''' 3/11/2015 <br />Signature of Permittee, Operator or their authorized agent Date <br />Important: In accordance with Rule 4.17.10) This release request must be submitted to the Division <br />via certified mail and separate from any other correspondence to the Division. <br />