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04 cow <br /> ` COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> *, /876 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br /> * <br /> RE UEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURET REDUCTION <br /> KEC <br /> Please indicate if you are requesting: EIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑✓ NOV 3 0 2017 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) DIVISION OFF ECL4jATOW <br /> "'N'uf' <br /> I wish to release 4.00 acres at this time. SLO1 SAFETY <br /> You will need to submit with this request: a map showing the acre, ✓COMPLIED! current <br /> permit and updated mining and reclamation plan maps that will ac; ✓NO Violations: .rmit <br /> boundary if the release is approved. TCI, WHE <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- 1988-022 Site Name:Smith Ranch Pit No. 2 <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# 7©15&1/41Q,5256�7 345 590Y <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 /> 23371 Mulholland Dr. #425 <br /> Woodland Hills, CA 91364 <br /> (719) 892-7560 <br /> Continue on following page.. <br />