Laserfiche WebLink
o�.Coto <br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> ti �T yam} <br /> 1313 Sherman Street 203 ph(303)866-3567 <br /> 1876AR01 <br /> * <br /> REQUEST FOR FULL OR PARTIAL I LJW1thm f AREA/SURETY IWJIUCTION <br /> Please indicate if you are requesting: I y 17 man I Ci�I�® <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17)�_ 40 <br /> 41# <br /> or 1g <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) � d►c�C <br /> � r�1if <br /> I wish to release ab.(D 0 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) ❑ <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- c&12` O 1 S Site Name: I y LIB RAA!k �- <br /> County: Aw aau�An <br /> Permittee: fw\ �V�c <br /> Permittee Address: g. �ZA Q, ky-t. <br /> Operator(If Other than Permittee): C <br /> Permittee Representative: IuuL>C Ire��pp�r <br /> Certified Mail# 704, 02.1-ab 0001 U700 913(,, <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 /> e <br /> Continue on following page.. <br />