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�ell <br />p4 Com <br />C **�$ 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:RECEIVEDFULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) 4,, SEP 17 2015 <br />DIVISION OF RECLAMATION <br />I wish to release acres at this time. MINING AND 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. f <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.: M1977-534 Site Name: Empire Pit <br />County: Clear Creek <br />,/ Permittee: City of Golden <br />Permittee Address: 911 10th Street <br />Golden CO 80401 <br />Operator (If Other than Permittee): <br />Permittee Representative:Anne Belerle 303-384-8153 <br />Certified Mail# 1011 bi I b 0001 X522 I b3b� <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. Glenda Guanella P. O. Box 128 Empire CO 80438 303-569-2839 <br />Sally Buckland P. O. Box 56 Empire CO 80401 303-569-2988 <br />Continue on following page.. <br />