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COLORADO DIVISION OF RECLAMATLrAR07 NND SAFETY <br /> 1g76 Complied! <br /> 1313 Sherman Street, Room 215, Denver, Worr 7 <br /> v/2 riolations: <br /> REQUEST FOR FULL OR PARTIAL RELEASE C MV1991-057 & MVI995-071 TCTION <br /> Please indicate if you are requesting: RECEIVev <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑✓ "N 2 1 2016 <br /> 21 .62 DVISION OF RE <br /> AFM <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)�p�n�y P i� �� Ln A Rid A <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- 1990 025 Site Name: Hay camp <br /> County: Montezuma County <br /> Permittee: Montezuma County <br /> Permittee Address: 109 West Main ROOM 302 <br /> Cortez Co 81321 <br /> Operator(If Other than Permittee): <br /> Permittee Representative: Rob E n g l e h a rt <br /> Certified Mail# 7015 1520 0000 1789 2558 <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. Lavena Saunders 22195 Rd P Cortez Co 81321 <br /> H rxrru4 Al,5qer 5 207taO TZtl . S l.dY +� Z� �,� S1.32 1 <br /> Continue on following page.. <br />