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COLORADO DIVISION OF' RECLAMATION, MINIM; AND SAFETY <br />I 31 Sherman Street. Room 215 I)en er. (olnrado K02111 0( 303) st,t.•351,7 <br />1 Etetvev <br />REOl1EST FOR FLU OR PARTIAI. RELEASE OF PI•:R. 1 EA <br />0 <br />Please indicate if you are requesting: Z t°1a <br />FULL;FINAL RELEASE OF ENTIRE PERMITTED AREA El MOON OF" *Y <br />ACREAGE REDUCTION (PARTIAL RELEASE) ✓ <br />If you are requesting an acreage reduction. you w ill need to specify hogs 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 .s 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.: h1- 1977-081 <br />County: Weld <br />Permittee: <br />City of Greeley AR02 <br />Operator (If Other than Permittee): Hall Irwin <br />Permittee Representative: Burt Knight, City of Greeley Water and Sewer Director <br />Certified ied Mail;: 7011 0110 0002 1021 8579 <br />Site Name: <br />Greeley West Pit <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 if <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(4) the Operator or their agent 's111ST sign that they has complied with <br />the following statement: "All applicable portions of the Reclamation Plan requirements has e been <br />satisfied in accordance with these Rules and all applicable requirements under the Act." <br />lonfis- <br />Signature of Permittee perator or their authorized agent Date <br />Important: In accordance with Rule 4.1. 1OTlri,s release rcuuest must be submitted to the Divisiuu <br />via certified mail and separate from an other correspondence to the Diwisinn. <br />