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• � COLORADO <br /> Division of Reclamation, RECEIVED <br /> Mining and Safety <br /> Depmtrnent of ttitura:Resrn.uce; SR01 OCT 15L0 18 <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 �emac DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> `A 0 3 <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION o <br /> Please indicate if you are requesting: �, a V <br /> y <br /> o IV <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) N <br /> tW <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br /> z <br /> 0 <br /> I wish to release acres at this time. n o y <br /> �< <br /> 11;0 <br /> You will need to submit with this request: a map showing the acreage to be released from the current 0 <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit boundary a) � <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 _ ? Site Name: L t <br /> County: <br /> Permittee: Ej-,L kijta�-. cy--�t p' <br /> An <br /> Permittee Address: ;IxyK l) S 5h <br /> (Street Address) <br /> L0,.V-\.an _._.- _ C-L) <br /> (City) (State) (Zip) <br /> ov c04o <br /> 1313 Sherman Street, Room 215, Denver, CG 80203 P 303.866.3567 F 303.832.8106 http:I/mining.state.co.us <br /> John W. Hickenlooper, Governor I Robert W. Randati, Executive Director Virginia Brannon, Director �. a <br /> * 1R76 <br />