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61 ) ef ril6"°Y 06C-1-a4A-S <br /> AROI <br /> vIvola4-(0 7 <br /> ON OF RECLAM ATI ON, MINING AND SAFETY <br /> JPL/jle et, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION` <br /> Please indicate if you are requesting: RECEI Y ED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) MAR 3 0 2020 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ✓ <br /> DIVISION OF RECLAMATION <br /> I wish to release 30.11 acres at this time. MINING AND rvl <br /> EIY <br /> You will need to submit with this request: a map showing the acreage to be released from tl> c en �I <br /> permit and 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- 1977-526 Site Name: Worthing Pit ( AFS Pit #4) <br /> County: Adams <br /> Permittee: Albert Frei and Sons, Inc. <br /> Permittee Address: P.O. Box 700, Henderson, CO 80640 <br /> Operator(If Other than Permittee): <br /> Permittee Representative: Ben Frei <br /> Certified Mail# q 0 q ti b L 3/ 10 f/ (p to 0 0 g 2 1 9 <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 /> Henderson Aggregates, LTD, P.O. Box 700, Henderson, CO 80640, 303-289-1837 <br /> Continue on following page.. <br />