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TroN, Mr -3567 <br />S <br />O DIVISION OF RE <br />COLORADO CLAMA <br />1313 Sherman Street, Room 215, Denier, Colorado 80203 pbC-03) 966-35b? <br />Please indicate if you are requesting: <br />FULIJFINAL RELEASE OF ENTIRE PERMITTED AREA <br />ACREAGE REDUCTION (PARTIAL RELEASE) acres at this time. <br />e reduction, you will'' need to Specify hors+many acres v wish to remove <br />If you are requesting an ac from the existing permit under this revision. I wish to release �an maps that accurately depict both the <br />You will also need to submit updated mining and reclamation p P <br />d from the current permit area, and the resulting new permit boundary - <br />proposed used acreage to be release <br />Site Name <br />File No.:1VI- <br />_ : <br />County: <br />Permittee_ <br />Operator (If Other than Permittee): <br />Permittee Representative: 0 b <br />Certified flail# <br />In accordance with Rule 4.17.1(2) the Operator shallthach additional sheetde the names, s <br />for thisses ainformation if d phone bets <br />of all owners of record to the affected land. Pleas <br />required. 1// t_ / / /% _ t%/% /7�X < ; J „c"/� IT.—_ _ _ " A Y e/l/U <br />hkle-el-e-i - �*61 <br />ge lo- <br />---Lop-ej <br />�s &17 <br />"Ari - i-5 <br />lied with <br />the Reclamation Plan requirements have been <br />in accordance with Rule 4.17.1(4) the Operator s o their agent MUST sign that they have comp <br />the 'ng statement: All applicablep <br />acutrements under the Act <br />atisfied i <br />accordance with these Rules and all applicable req <br />...,_�:�..� n,�rator or their autitor'ized agent Date <br />ZZ'd 8809-Zti8-OL6 01� e6ueyox3 -�ooisenl-j d6£:1vo 9 t 9l Inr <br />