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COLORADO <br /> &V Division of Reclamation, <br /> Mining and Saf <br /> Department of Natur MAR <br /> SR01 { 9�u20 <br /> 1313 Sherman StreE VJS/0 <br /> Denver, CO 80203 lYp� <br /> TC1/mac M1NjN�ANp 'Y <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION o o $ <br /> K3 <br /> 5-0 <br /> Please indicate if you are requesting: <br /> g <br /> � b <br /> S N <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) El- En -' <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 o <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit bounds o <br /> if the release is approved. o I� <br /> p> > O <br /> C) <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 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 4610 _ 0.�,{ Site Name: &&5S &kM w Pi <br /> County: <br /> Permittee: <br /> t �YIC_• <br /> Permittee Address: 944 <br /> (Street Address) <br /> �afioii &4" -14 Dais- <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 /> IR76 " ,. <br />