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OF COO <br /> COLORADO DI VI f 'IATI ON, M I NI NG AND SAFETY <br /> *" ays• 1313 Sherman S+ AR orado 80203 ph(303) 866-3567 <br /> ACYlwhe RFiIiT!T <br /> REQUEST FOR FULL OR PAP _ _.a ,vllT AREA/SURETY -�.�.—,j"j0N,, <br /> Please indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) Off` 19 2018 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ✓❑ DIVISION OF RECLAMATION <br /> 16.02 MINING AND SAFETY <br /> I wish to release 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 <br /> boundary if the release is approved. <br /> SURETY (Bond) REDUCTION (per Rule 4.14) ❑ n 3 <br /> If you are requesting a surety(bond) reduction you will need to include with this request a new estimate K 3 <br /> of the actual cost to reclaim the site based on what it would cost an independent contractor to complete o. <br /> reclamation, including unit costs for reclamation activities as appropriate to the operation to comply a <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. " O <br /> 1990 021 Virginia Acres Pit b <br /> File No.: M- Site Name: N <br /> County: Mesa <br /> Permittee: Oldcastle SW Group, Inc. dba United Companies <br /> Permittee Address: PO Box 3609, Grand Junction, CO 81502-3609 <br /> 0 <br /> a < I> <br /> � o <br /> 0 <br /> Operator(If Other than Permittee): N/A m N <br /> Permittee Representative:Jason Burkey <br /> Certified Mail# -1 On gu?-p QMO -I1.�70 <6-� 11 <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. Colorado Parks & Wildlife <br /> 1313 Sherman Street 6th Floor <br /> Denver, CO 80203 <br /> Attn: Pete Firmin 970 434 3388 <br /> Continue on following page.. <br />