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COLORADO <br /> � Division of Reclamation, ����'��� <br /> Mining and Safety <br /> Department of Natural Pa nurras <br /> 1313 Sherman Stre ARO AUG 2 <br /> Denver, CO 80203 DIVISION OF RECLAMAnpN <br /> X- plied! MINING AND SAFETY <br /> 0 Violations, 3 Minor Infractoins <br /> ECS, mac ` <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) / <br /> I wish to release 5 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 boundary <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.: 1�4—tee � ,�' Site Name: �L �.t•06r �- <br /> County: <br /> Permittee: In 77- Z q-S� � f�,f'��'l Gloms'[le <br /> Permittee Address: /300 5r, Ave <br /> (Street Address) <br /> Pine �_ - Yoel 70 <br /> (City) (State) (Zip) <br /> of Coto <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us I <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director <br />