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COLO Q <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />*,1876 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br />REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br />Please indicate if you are requesting: RECEIVED <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br />P 18 2015 <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑✓ <br />0.14 OF RECLAMATION, <br />I wish to release acres at this time.SAFETY <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) ❑ �� I <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- <br />2014-045 site Name: Mineral Mountain Project <br />county: Tel ler <br />Permittee: Mineral Mountain Gold, LLC. <br />Permittee Address: P.O. Box 247 <br />r •• "+ • • .•• iii <br />Operator (If Other than Permittee): <br />Permittee Representative: Lance barker <br />Certified Mail# 1114,vD 1/415- %lam <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. Minerex Corp, a Colorado Corporation, 117 Edson Street, Shawneetown, III. 62984 <br />AF & Report <br />No Violations <br />Continue on following page.. <br />