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COLORADO DIVISION OF RECLAMATION, MINING' AND SAFETY <br />1313 Sherman Street. Room 215. (kmrr. ( oIoradu 5022(0 rh(303) son -35t," <br />lec <br />wI <br />REQUEST FOR FLU. OR PARTIAL RELEASE OF PER. 1 EA <br />Q � 2.61,O' <br />Please indicate if you are requesting: <br />FULL;FINAL RELEASE. ()F ENTIRE PERMITTED AREA <br />AC'Ri.AGE RE.I)UC'TiON (PARTIAL RELEASE) <br />DivISION OF V"' <br />latatiGAND <br />If you are requesting an acreage reduction, you ll ill need to specify holt many acres you wish to remove <br />from the existing permit under this revision. I wish to release 164.64 acres at this time. <br />You N ill also need to submit updated mining and reclamation plan maps that accurately depict both the <br />proposed acreage to he released from the current permit area. and the resulting new permit boundary. <br />File No.: NI- 1977-081 Site Name: <br />County: Weld <br />Permittee: City of Greeley <br />Greeley West Pit <br />AR02 <br />Operator (If Other than Permittee): Hall Irwin <br />Pcnnittee Representative: Burt Knight, City of Greeley Water and Sewer Director <br />Certified Mail;= 7011 0110 0002 1021 8579 <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 liar this information rf <br />required. <br />1. Cottonwood Land and Farms, LLC P.O. Box 229, Boulder, CO 80306 (303) 449-1441 <br />2. City of Greeley, 1100 10th Street, Suite 300, Greeley CO 80631 (970) 350-9811 <br />✓ Compliance <br />✓ NO Violations <br />In accordance with Rule 4.17.1(3) the Operator or their agent MI (ST sign that they hale complied with <br />the following statement: "All applicable portions of the Reclamation Plan requirements hale been <br />satisfied in accordance with these Rule and all applicable requirements under the Act."" <br />Signature of Permits 2. Aerator or their authorized agent Date <br />Important: In accordance with Rule 4.1-.1(3)This release request must be submitted to the Division <br />via certified mail and separate from any other correspondence to the Division. <br />