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COLORADO DI VI S1 ON OF RECLAMATI ON, M I N1 NG AND SAFETY <br />1313 &wman Street, Room 215, Dern►s, Colorado 80203 ph(303) 866-3567 <br />REQUEST FOR FULL OR PARTIAL REL' 7swo 1) <br />Please indicate if you are requesting: <br />FULL/FINAL RELEASE OF ENTIRE PERMIT <br />✓ Complied <br />'AHT AREA/SURETY REDUCTION <br />RECEIVED <br />✓0 Violations le 4.17) <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br />APR 2 4 2017 <br />OMSION OF REC <br />MlNINr, & SAjrjr N <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 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 />fzh <br />SURETY (Bond) REDUCTION (per Rule 4.14) <br />If you are requesting a surety (bond) reduction you wi l 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. 2013-056 <br />SiteName:Ace In The Hole lode claim <br />County: Teller <br />Permittee: Richard Fretterd <br />Permittee Address: 1 065 Woodland Ave. #16, Woodland Park, CO 80863 <br />Operator (If Other than Permittee): <br />Permittee Representative: <br />Certified Mail# _ � �'? �[' 0-000 OW- 00 <br />In accordance with Rule 4.17.1(2) the Operator shall include the names, addresses and phone numbers <br />of al I owners of record to the affected land. Please attach additional sheets for this information if <br />required. surface rights owned by USFS administered by South Park Ranger District <br />Continue on following page.. <br />