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;* ,) COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> 1313 Shaman Street, Roan 215, Denver, Colorado 80203 ph(303)866-3567 <br /> RE UEST 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) JUL 20 2016 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) OMOM OF RECLAMATION <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 accurate 4tot <br /> boundary if the release is approved. -/ PAST D Annual Fee, <br /> SURETY (Bond) REDUCTION (per Rule 4.14) �✓ Report&Map(6/1 S/1 S)! <br /> 1f you are requesting a surety (bond) reduction you will need to include wIL. "No r1olations 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 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 Perm ittee):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 /> ofafl owners of record to the affected land. Please attach additional sheets for this information if <br /> requ ired. <br /> Continue on following page.. <br />