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op-Co AME WHE <br /> M-1981-101 SL01 )F RECLAMATION, MINING AND SAFETY <br /> J Annual Fee/Report: OW �n 215, Denver, Colorado 80203 ph(303) 866-3567 <br /> x'87 V No Violations <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) L� <br /> SEP 18 2017 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br /> TM <br /> I wish to release acres at this time. <br /> �NO-WETY <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- 1982-101 site Name: Dilts Limestone Property <br /> County: Larimer County <br /> Permittee: Holcim (US) Inc. <br /> Permittee Address: 3500 Highway 120 <br /> Florence, CO 81226 <br /> Operator(If Other than Permittee): <br /> Permittee Representative: <br /> Certified Mail# <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. Mr. Herbert E. Swartz, 270 Dromara Road, Guilford, Connecticut 06437 <br /> Continue on following page.. <br />