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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />*,* 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: cav , ) <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ <br />Oct D <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑ <br />I wish to release 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- H 6_ J?" 1 y <br />Site Name: King tlll z <br />o <br />County: Rdy'VV <br />Permittee: �t n Q D r <br />L,L C <br />Permittee Address: 179j Coda sons 60to-, Z3 <br />C�o1 den , Co li5o y.0 <br />Operator (If Other than Permittee): Re W es <br />Permittee Representative: T k ere_S a co� ,n <br />Certified Mail# 10 l S 6& Vy o on 0 -j 3 O Li 10 o15 - <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. <br />LLLJ) <br />018 (ass- C W,* 5 <br />To ohas, Co X0`+'19 ✓ Compliance <br />✓ NO Violations <br />Continue on following page.. <br />