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• COLORADO <br /> Division of Reclamation, CEIVED <br /> Mining and Safety <br /> ,,epar,rnen:o`Natural Resources 1 7 2919 <br /> 1313 Sherman Street, Room 215SL DEC,4jj I <br /> 0 <br /> Denver,CO 80203 <br /> SJM/thm <br /> X&kWi rule <br /> I he <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: W o 3 <br /> 3 <br /> °� O <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br /> n 1 <br /> 0 G7 <br /> W <br /> N co <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) <br /> I wish to release 10 acres at this time. <br /> You will need to s bmit 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 /> N <br /> SURETY(Bond)REDUCTION(per Rule 4.14) w Ir <br /> sC o <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.: M Site Name: r. <br /> County: M <br /> Permittee: <br /> Permittee Address: o o <br /> eet Address) <br /> 30a <br /> (City) (State) (Zip) <br /> vt-�UFO <br /> 47/ <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 />