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COLORADO <br /> * Division of Reclamation, � ��� <br /> Mining and Safety <br /> Department of Natural Resources <br /> SLO1 <br /> �`N9 Denver, CO Sherman 1313 Street, Rnom 215 ! 4 f, k <br /> 00 <br /> 201 <br /> 4L�19 M) thm ° <br /> Auk` A, j a N <br /> pMM,��N�REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION Ln <br /> PIease indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) NA <br /> LIN— <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br /> I wish to release acres at this time. r <br /> You will need to submit with this request: a map showing the acreage to be released from the current 3{ -- <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit bounda <br /> 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 of <br /> 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 with <br /> the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: ©1L— Site Name: KA 1-9 <br /> _4 1 _ !1 Q N ` Q <br /> County: e f <br /> Permittee: <br /> Permittee Address: 2 6 f4oxD <br /> (St feet Address) <br /> LA&c a Cd l�2 <br /> (City) (State) (Zip) <br /> 1313 Sherman Street, Room 215, Denver,CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director Virginia Brannon, Director <br />