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� X876 <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Roan 215, Denver, Colorado 84203 ph(303) 866-3567 <br />REOUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURET <br />Please indicate if you are requesting: <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) F-1 JUL 20 2016 <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ONISMOF RECLAMATION <br />U NNG & SAFEW <br />I wish to release acres at this time. <br />You will need to submit with this request: a map showing the acreage to be --rent <br />permit and updated mining and reclamation plan maps that will accuratr SR01 <br />boundary if the release is approved. <br />r"PAS D ' Annual Fee, <br />SURETY (Bond) REDUCTION (per Rule 4.14) ✓❑ Report & Map(6/15/1 S)! <br />If you are requesting a surety (bond) reduction you will need to include wi,. ✓NO riOlations ate <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- 1997-087 <br />Site Name: Hartman Pit <br />County: Pueblo <br />Permittee:Arnolds Custom Seeding LLC <br />Permittee Address: 4626 WCR 65 Keenesburg, CO 80643 <br />Operator (If Other than Permittee): Same <br />Permittee Representative: James Simpson 303-710-0476 <br />Certified Mail# <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. <br />Continue on following page.. <br />