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„.;2Cot <br /> 9,,,w4)/-:"Dy, COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> 4. ,� 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: RECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) 1151 <br /> 1 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) r NOV 16 201 <br /> 7.60 DIVISION OF RECLAMATION <br /> I wish to release acres at this time. 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 accurateh,Ao.,;,.4- - mit <br /> boundary if the release is approved. ”- <br /> SURETY (Bond)REDUCTION(per Rule 4.14) E Cdl <br /> If you are requesting a surety (bond)reduction you will need to include s ,/p Violations estimate <br /> of the actual cost to reclaim the site based on what it would cost an indep TC WHE )mplete <br /> reclamation, including unit costs for reclamation activities as appropriate L., sue operation to comply <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M- 1977-163-SG Site Name: Fisher Pit <br /> County: Lincoln <br /> Permittee: Lincoln County <br /> Permittee Address: P.O. Box 39 <br /> Hugo, CO 80821 <br /> Operator(If Other than Permittee): <br /> Permittee Representative:Trey James <br /> Certified Mail# 7015 061/6 7 3 6 5 / 5 7/ 7 <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. Shriner's Hospital for Children <br /> ATTN: Tom Guthrie <br /> PO Box 31356 <br /> Tampa, FL 33631-3356 <br /> Continue on following page.. <br />