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OF•CO <br /> ylO <br /> O COLORADO DIAR01 JI ATI ON, M I NI NG AND SAFETY <br /> *, 7 1313 Sherm, ;olorado 80203 ph(303) 866-3567 <br /> �sv � <br /> UNlthm <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: '`ec�/t' <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ VE <br /> 00 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ✓❑ 4Y 2 72419 o N <br /> a � <br /> I wish to release 26.60 acres at this time. �' T/o/ 16 <br /> You will need to submit with this request: a map showing the acreage to be released from the current 5 j <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit 0 <br /> boundary if the release is approved. <br /> SURETY(Bond) REDUCTION (per Rule 4.14) ❑✓ N <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 o <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> 0 <br /> File No.: M- 2018-015 site Name: Mask Ranch Pit ID <br /> County:Archuleta N o <br /> Permittec: Fremont Paving and Redi Mix, Inc <br /> Permittee Address: 839 Mackenzie Ave. <br /> Canon City, CO 81212 <br /> Operator(If Other than Permittee): <br /> Permittee Representative:J o d i Schreiber <br /> Certified Mail# 1�t'&J& 4-sq5 44r-1 <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. MASK LLC <br /> Continue on following page.. <br />