Laserfiche WebLink
Operator(If Other than Permittee): NA <br /> Fermfftee Representative: James Fyfe jfyfe.riverwide@gmail.com <br /> Certified Mail# <br /> 7Ul & ` k D a/ 7U,3 B <br /> In accordance with Rule 4.17.1(2)the Operator shall include the names,addresses and phone numbers of all <br /> owners of record to the affected land. Please attach additional sheets for this information if required. <br /> Name Address Phone Number <br /> Eagle Reclamation, LLC PO Box 3338, Idaho Springs, CO 80452 239-537-1420 <br /> mptmaher@outlook.com <br /> In accordance with Rule 4.17.1(4), if requesting a partial acreage release the Operator or their agent MUST sign that <br /> they have complied with the following statement: "All applicable portions of the Reclamation Plan requirements <br /> have been satisfied in accordance with these Rules and all applicable requirements under the Act." <br /> Signature of efmi ee, O erator or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2(a) and 4.17.1(3) This release request must be submitted to the <br /> Division via certified mail and separate from any other correspondence to the Division. <br /> MmeralsReleaseRequesfform Mep2017 <br /> Page 2 of 2 <br />