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g COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> y <br /> • 1313 Shernm Street, Rome 215, Deriver, Cdorado 80203 ph(303)8H6.3567 <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 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 Md updated mining and reclamation plan maps that will accurately depict the new permit <br /> boundary 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 <br /> of 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 <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.:M- 1979-075 siteName:Yvonne Chambers Pit <br /> County:Garfield <br /> Permittee:Oldcastle SW Group, Inc. dba United Companies <br /> Permittee Address: 2273 River Road, Grand Junction, CO 81505 <br /> Operator(If Other than Permittee).NSA <br /> Permittee Representative:Jason Burkey <br /> Certified Mail# 7018 0680 0002 0087 8582 <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* Yvonne Chambers <br /> 970-379-5827 <br /> 28580 US Highway 6 Rifle, CO 81650 <br /> Continue on following page.. <br />