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l� <br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> * 1313 Sherman Street, Room 215, Denver, 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: RECEIV`-'a <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) z VTAN 3 0 2017 <br /> 50.45 CIVISION OF RECLj• 'CATION <br /> I wish to release acres at this time. MININGAND 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- 1982-147 Site Name: Nyholt Pit 9-11201 <br /> County:Adams County <br /> ✓Permittee:Adams County Parks and Open Space <br /> Permittee Address: 9755 Henderson Road <br /> Brighton, CO 80601 <br /> Operator (If Other than Permittee): <br /> Permittee Representative: Nathan Mosley, Director ADCO Parks and Open Space <br /> Certified Mail# 74/V 0 (P qd DO 6( o9otq0) 178 ,3 <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. Adams County Parks and Open Space (303)637-8000 <br /> Continue on following page.. <br />