2015-11-06_REVISION - M1977081 (3)

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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY 1313 Sherman Street. Room 215. 1)emer. (01uradu 802n3 rpt 3413 s(4.3567 REQUEST FOR FULL OR PARTIAI. RELEASE OF PERtEetelV iki 1 EA p�T Z 6 1,015 gVISIMGw SAY Please indicate if you arc requesting: FULL:FINAL RELEASE OF ENTIRE PERMITTED ARIA ACREAGE REDUCTION (PARTIAL RELEASE) If you are requesting an acreage reduction. you N ell need to specify ho%1 many acres you wish to remove from the existing hermit under this revision. I wish to release 164 64 acres at this time. You w ell also need to submit updated mining and reclamation plan maps that accurately depict both the proposed acreage to he released from the current permit area. and the resulting new permit boundary. File Ino.: M 1977-081 County: Weld Permittee: City of Greeley AR02 Operator (If Other than Permittee): Hall Irwin Per -mince Representative: Burt Knight, City of Greeley Water and Sewer Director Certified Mail:: 7011 0110 0002 1021 8579 Greeley West Pit Site Name: In accordance with Rule 4.17. 1(2) the Operator shall include the names. addresses and phone numbers of all owners of record to the affected land. Please attach additional sheets for this intirrntation rf required. 1. Cottonwood Land and Farms, LLC P.O. Box 229, Boulder, CO 80306 (303) 449-1441 2. City of Greeley, 1100 10th Street, Suite 300, Greeley CO 80631 (970) 350-9811 ✓ Compliance ✓ NO Violations In accordance with Rule 4.17.1(4) the Operator or their agent ML 1ST sign that they has e complied with the Iollo wing statement: "All applicable portions ()I' the Reclamation Plan requirements have been satisfied in accordance with these Rule and all applicable requirements under the Act." Signature of Permits ▪ Aerator or their authorized agent I)ate Important: In accordance i 'ith Rule 4.1 ' 1(3) This release re aue st must be submitted to the Division via certified mail and separate front any other correspondence to the Division.