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In accordance with Rule 4.17.1(4), if requesting a full or partial acreage release the Operator or their <br />agent MUST sign that they have complied with the following statement: "All applicable portions of the <br />Reclamation Plan requirements have been satisfied in accordance with these Rules and all applicable <br />requirements- under thelAct." <br />08/15/2015 <br />Signature of yermittWOpe'rator or their authorized agent Date <br />Important: In accordance with Rules 4.14.2(a) and 4.17.10 This release request must be submitted <br />to the Division via certified mail and separate from any other correspondence to the Division. <br />