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04 COO o <br /> *� COLORADO Div M ATI ON, M I NI NG AND SAFETY <br /> N <br /> *„ * 1313 Sherman S1 Colorado 80203 ph(303)866-3567 <br /> SL 01 <br /> wW/thm <br /> REQUEST FOR FULL OR PARTIAu ithLEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> ECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17)n <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) DEC 11 2019 <br /> I wish to release acres at this time. DIVISION OF RECLAMATION <br /> You will need to submit with this request: a map showing the acreage to be released from the currien&SAFETY <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit <br /> boundary if the release is approved. <br /> w 0 <br /> SURETY(Bond) REDUCTION(per Rule 4.14) 3 <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 '- w <br /> reclamation, including unit costs for reclamation activities as appropriate to the operation to comply a b <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. N <br /> File No.: M- d`3 03 Site Name: �+� % �� kele <br /> County: <br /> Permittee: i/ ✓1 <br /> Permittee Address: "'o <br /> J <br /> ,ems C <I� <br /> � C) <br /> Operator(If Other than Permittee): <br /> Permittee Representative: <br /> �CertifiedMail# 7018 3090 0000 8868 4651 <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 /> K,4V 0 <br /> Continue on following page.. <br />