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RECEIVED <br /> ICOLORADO <br /> Division of Reclamation, SEP 12 ?018 <br /> Mining and Safety <br /> Department of Natural Re! DIVISION OF RECLAMATION <br /> 1313 Sherman Street, R, MINING AND SAFETY <br /> Denver, CO 80203 m ; (n <br /> ' N r-r <br /> AR01OG CD <br /> � W3 <br /> CD <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> o � <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) _3 <br /> o �. <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) 1Z <br /> 3 a <br /> X <br /> 0 <br /> I wish to release 19 +/- acres at this time. —� <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 boundary <br /> 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 of <br /> 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 with <br /> the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M 2004-031 site Name: Hazeltine Mine <br /> County: Adams <br /> Permittee: Aggregate Industries-WCR, Inc. <br /> Permittee Address: 1687 Cole Boulevard, Suite 300 <br /> (Street Address) <br /> Golden CO 80401 <br /> (City) (State) (zip) <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us " O <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director 1 Virginia Brannon, Director <br /> *1876 <br />