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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />,sz <br />1313 S xmm Street, Room 215, Dower, Colorado 8Mph(3M) 8W3W <br />REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br />Please indicate if you are requesting: A �1 <br />FULL/FINAL RELEASE OF ENTHIE PERMITTED AREA (per Rule 4.17) _� <br />►/ LIED <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ,t No Holatia►rs <br />1 wish to release V acres at this time. t 0E L' r <br />You will need to submit with this request: a map showing the acreage to be released from the c <br />permit and updated raining and reclamation plan maps that will accurately depict the new penin JUL 07 Z i� <br />boundary if the release is approved, <br />otv, � aF l�cl.��r��ic�.. <br />SURETY (Bond) REDUCTION (per Rule 4.14) Loup y 1� ! ffd )a�� 4 <br />SAFETY <br />If you are requesting a surety (bond) reduction you will need to inCA& 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- 1985 031 Site Name: M a nCoS Pit <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 Englehart <br />Certified Mail# 7015 1520 0000 1789 2555 <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. Montezuma County, 1580 N. Dolores Road, Cortez 81321 970-565-8666 <br />Continue on following page.. <br />