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C O L O R A D <br /> Division of Reclamation, RECEIVED <br /> Minin and Safety <br /> ( DE'pat"tTwnt of Natural Resos vicen <br /> 1313 Sherman Street, Room 215 NOV 0 5 2019 <br /> Denver, CO 80203 ItTi�,e <br /> OPMON OF RECLAMATION <br /> MINING&SAFETY <br /> ,xswll A14W <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) 40 3 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) 5- a ~ <br /> W co <br /> � t?1 <br /> CA 00 <br /> I wish to release �( , S 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 /> 0 <br /> If you are requesting a surety(bond)reduction you will need to include with this request a new estimate of o ID <br /> the actual cost to reclaim the site based on what it would cost an independent contractor to complete i o 0 <br /> reclamation, including unit costs for reclamation activities as appropriate to the operation to comply with _a <br /> the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M 9 _ 05� Site Name: j- <br /> County: ��7J <br /> Permittee: <br /> Permittee Address: �oT i+ T <br /> (Street Address) <br /> _�Tt�l4wl�ia/iT �7Pa C-C.;? <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 I Virginia Brannon, Director : <br />