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G � <br /> GOLORADO DI V151 ON OF REGLAMATI ON, M 1 NI NG AND SAFETY <br /> *, 1g76 1313 Sherman Street, Room 215, Deriver, Colorado 80203 ph(303) 866-3567 <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: RECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17) <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) OCT 112010 <br /> D MtWN OF R7EC> tYI(W <br /> I wish to release �. 4 acres at this time. AND 7Y <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 /> .Sri'-� <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 1 and the Permit's approved Reclamation Plan. <br /> (/ M- 14g6 -QD� gr11�20A](Cldk <br /> nnII� nFile No.: M- SiteName:T L c K F'I <br /> County: a <br /> Permittee: Ale l U 1 11 � . �IYA AOt S &t <br /> Permittee Address: Q o a a, , P f� �o. gZq <br /> Operator(If Other than Permittee): <br /> Permittee Representative: <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 /> Annual Fee and Report -CW <br /> �l No Violations <br />