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ti�oF cot, <br />o� <br />8 COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />%a75 „ 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 ifyou are requesting: kedlifiED <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) �— <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br />I wish to release acres at this time. <br />You will need to submit with this request: a map showing SR01 <br />permit and updated mining and reclamation plan maps tha V Complied! <br />boundary if the release is approved. p <br />T tfM <br />JUL 19 2017 <br />DIVISION OF RECLAMATION <br />WhIWAND SAFETY <br />M-1980-047 <br />SURETY (Bond) REDUCTION (per Rule 4.14) F71 ojw <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. M1980047 Site Name: Colony Shale Oil Project <br />County: Garfield <br />Permittee: Exxon Mobil Corporation <br />Permittee Address: 22777 Springwoods Village Parkway, W3-213-481 <br />Spring, Texas 77389 <br />Operator (If Other than Permittee): <br />Permittee Representative: Pahl Caponlgro <br />Certified Mail# 91 7108 2133 3932 9373 5586 <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. Exxon Mobil Corporation <br />Continue on following page.. <br />