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4 <br /> f <br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> l4� �876 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303)866-3567 <br /> � <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)I r 1 <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) ITT 2 12016 <br /> 9.70 DIVISION OF RECLAMATION <br /> I wish to release acres at this time. MINING AND SAFETY <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 /> File No.: M- 1989-116 Site Name:Crystal Pit <br /> County:Teller <br /> Permittee:City of Colorado Springs <br /> Permittee Address: PO Box 1575 MC 060 <br /> Colorado Springs, CO 80901 <br /> Operator(If Other than Permittee): <br /> Permittee Representative:Jack Glavan <br /> Certified Mail# FedEx Package <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. US Forest Service <br /> Jeff Hovermale - Pikes Peak Ranger District <br /> 601 South Weber Street <br /> Colorado Springs, CO 80903 <br /> 719-636-1602 <br /> Annual Fee and Report -CW <br /> No Violations Continue on following page.. <br />