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COLORADO DIVISION 4F RECLAMATION, MINING AND SAFETY <br />** 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br />REQUEST FOR FULL OR PARTIAL RELEASE OF PERNIIT AREA/SURETY REDUCTION <br />Please indicate if you are requesting: <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) OV 21 ZU 1 r <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) DIWSlnN OF RECtAMAT <br />­- _.�'ETY <br />I wish to release 4.00 acres at this time. �+ <br />You will need to submit with this request: a map showing the acreage to be r SLO1 ,ent <br />permit and updated mining and reclamation plan maps that will accurately do pked! <br />boundary if the release is approved. ✓0 Violations <br />SURETY (Bond) REDUCTION (per Rule 4.14) El <br />TC I, WHE <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- 1988-022 <br />County: Lincoln <br />Permittee: Lincoln County <br />SiteName:Smith Ranch Pit No. 2 <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# 705- 0646 OW7 36,�q 57�}� <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. Forder Ranch Co. LLC <br />Continue on following page.. <br />