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OF Cps <br /> V Fe 9dt <br /> COLORADO DIVISION OF RECLAMATION MINING AND SAFETY <br /> * 1876 * 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: C ` <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) � U lZ <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br /> OCl ?W7 <br /> 110.08 CEv,'� " ,CH <br /> I wish to release acres at this time. <br /> You will need to submit with this request: a map showing the acreage to b ro e current <br /> permit and updated mining and reclamation plan maps that will accura, it <br /> boundary if the release is approved. q= <br /> SURETY (Bond) REDUCTION(per Rule 4.14) ❑ IED r <br /> If you are requesting a surety (bond) reduction you will need to inclu( ✓0 ViolationS estimate <br /> of the actual cost to reclaim the site based on what it would cost an in MAL' S/HE )mplete <br /> reclamation, including unit costs for reclamation activities as appropriate to the operation Lv .,.nply <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M- 1977-534 site Name: Empire Pit <br /> County: Clear Creek <br /> Permittee: City of Golden <br /> Permittee Address: 911 10th Street <br /> Golden CO 80401 <br /> Operator(If Other than Permittee): <br /> Permittee Representative:Anne Belerle 303-384-8153 <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. Glenda Guanella P. O. Box 128 Empire CO 80438 303-569-2839 <br /> Sally Buckland P. O. Box 56 Empire CO 80401 303-569-2988 <br /> Continue on following page.. <br />