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4ffM WHE <br /> M-2000-018 AR02 <br /> )(Annual Fee/Report: CW <br /> d Violations: ORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> MV2016052 9/28/2016 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br /> AB 11/3/2016 <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) ❑✓ JUL 0 5 2017 <br /> I wish to release 0.3 acres at this time. DIVISION OF RECLAMATION <br /> 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- M-2000-018 Site Name: Munsch Pit <br /> County: Cheyenne <br /> Permittee: Cheyenne County <br /> Permittee Address: PO Box 567, Cheyenne Wells,CO 80810 <br /> Operator(If Other than Permittee): N/A <br /> Permittee Representative: Marcy Brossman, County Administrator <br /> Certified Mail# 7015 0640 0007 9638 9894 <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 /> Lawrence E Munsch &Munsch Family Trust, PO Box 486, Cheyenne Wells, CO 80810 719-342-1429 <br /> Continue on following page.. <br />