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DNR COLORADO <br /> 4111 <br /> CO Division of Reclamation, <br /> Mining and Safety SLO2 <br /> 1313 Sherman Street, Room 215 <br /> Denver. CO 80203 PSH/mac <br /> SEP as; gg19 <br /> OAICWM <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> i <br /> FULL/FINAL RELEASE OF ENTIRE PERM Ft ED AREA(per Rule 4.17) 0 0 3 <br /> o13 N <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) ri:-1 b <br /> w <br /> w <br /> I wish to release 3.841 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 /> y <br /> '11(/)(/) <br /> If you are requesting a surety(bond)reduction you will need to include with this request a new estimate of .I <br /> the actual cost to reclaim the site based on what it would cost an independent contractor to complete y N <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.: M 200( _��? Site Name: <br /> County: <br /> Permittee: 1 C\s–c L/ n _icik4) C 00 <br /> Permittee Address: 3(4CD e- NW `� <br /> I (Street Address) <br /> (City) (State) SOL/60 <br /> (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 Robert W. Randall, Executive Director ( Virginia Brannon, Director 1 �, ;+ <br />