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o4.co�o <br /> COLORADO DI V, 1 ATI ON, M I NI NG AND SAFETY <br /> * * 1313 Sherman )lorado 80203 ph(303) 866-3567 <br /> �8zs LJVVMthm <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> RECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ JUN 0 4 2010 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br /> �Mlt+tif3At+l� <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 35. 3 <br /> boundary if the release is approved. <br /> b <br /> SURETY(Bond) REDUCTION (per Rule 4.14) y 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 <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M- aU1S?- n1S Site Name: <br /> County: f�cc 6,%kL�an- <br /> Permittee: s (�� <br /> UKA <br /> Permittee Address: <br /> Operator(If Other than Permittee): <br /> Permittee Representative: �11rt��r <br /> Certified Mail# -7 014 a-1b WA I 1a7 br)l 1-8 <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. <br /> 0 35 114 <br /> 9-7 0 - 944v - 6o-q- <br /> Continue on following page.. <br />