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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br />REOUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br />Please indicate if you are requesting: <br />FULLIFINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) _ ✓1 5 -- <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br />I wish to release 1.87 acres at this time. <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) ❑ <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 />RECEIVEDFile No.: M- 1979-165 Site Name: Frei Pit No. 3 (Bromley Pit) <br />County: Adams <br />AUG 12 2016 <br />DMSION OF RECLAMATION <br />Permittee: Albert Frei and Sons Inc. <br />Permittee Address: P.O. Box 70, Henderson, CO 80640 <br />Operator (If Other than Permittee): <br />Permittee Representative: Ben Frei q <br />Certified Mail# i (} ' 6 x 0 0 9 L �l (el <br />3 `j t <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 />Albert R. Frei LLLP. P.O. Box 700, Henderson, CO 80640.303-289-1837 <br />Annual Fee/Report CW <br />, No Violations <br />Continue on following page.. <br />