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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 the Act." <br />Signature of Permittee, Operator or their authorized agent <br />/1-9— 20/5' <br />Date <br />Important: In accordance with Rules 4.14.2(a) and 4.17.1(3)This release request must be submitted <br />to the Division via certified mail and separate from any other correspondence to the Division. <br />