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Of Coz <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />r rr <br />\\1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br />876 *" <br />REQUEST FOR FULI� OR PARTIAL. RELEASE OF PERMIT AREA/SURETY REDUCTION <br />Please indicate if you are requesting: <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ _N 1-�, <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br />1 wish to release M I&acres at this time. <br />You will need to submit with this request: a map showing the acreage to be released from the current <br />permit and updated mining and reclamation plan maps that will accurately depict the new permit <br />boundary if the release is approved. <br />SURETY (Bond) REDUCTION (per Rule 4.14) ❑✓ <br />If you are requesting a surety (bond) reduction you will need to include with this request a new estimate <br />of the actual cost to reclaim the site based on what it would cost an independent contractor to complete <br />reclamation, including unit costs for reclamation activities as appropriate to the operation to comply <br />with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br />File No.: M- 1977-522 site Name: Star Water Resource <br />County: <br />Weld <br />permittee: L.G. Everist, Incorporated <br />Permittee Address: 7321 E 88th Avenue, Suite 200 <br />Henderson, CO 80640 <br />Operator (If Other than Permittee): <br />same as permittee <br />Permittee Representative: Dennis Fields, VP, 303-287-4656 <br />Certified Mail# <br />7006 2150 0003 6779 7231 <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. There are 2 owners of record - L.G. Everist, Inc. (landowner) & Noble Energy (gas rights/structures) <br />1. L.G. Everist, Inc. - 7321 E 88th Avenue, Suite 200, Henderson, CO 80640 <br />L.G. Everist, Incorporated is the landowner, permittee & operator of Star Water Resource. <br />Permitting Contact: Lynn Mayer Shults, Regulatory Mgr, 303-286-2247, Imshults@lgeverist.com <br />2. Noble Energy (oil & gas) - 1675 Broadway, Suite 2200, Denver, CO 80202 <br />Noble owns gas well, gas line, separator - all within fenced O&G area. Phone: 303-228-4000 <br />Continue on following page.. <br />