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oQ CO�o <br /> . $ COLORADO DI I AR 02 _AMATI ON, M I NI NG AND SAFETY <br /> Vl <br /> * � 1313 Sherma���JPL/jle er, Colorado 80203 ph(303) 866-3567 <br /> `8'6* Y <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: RECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ✓ JUN 0 3 2020 <br /> DIVISION OF RECLAMATION <br /> I wish to release 8.50 acres at this time. MINING AND SAFETY <br /> You will need to submit 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 <br /> boundary if the release is approved. N <br /> _�: o & <br /> SURETY (Bond) REDUCTION (per Rule 4.14) o W <br /> If you are requesting a surety (bond) reduction you will need to include with this request a new estimate �. y <br /> of the actual cost to reclaim the site based on what it would cost an independent contractor to complete 0- <br /> reclamation, including unit costs for reclamation activities as appropriate to the operation to comply a) IV <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. o <br /> Cn <br /> File No.: M- 1977-526 Site Name: Worthing Pit ( AF5 Pit #4) <br /> County: Adams <br /> Permittee: Albert Frei and Sons, Inc. ` G <br /> o' ID <br /> Permittee Address: P.O. Box 700, Henderson, CO 80640 r ' <br /> cD ° O <br /> IV <br /> Operator (If Other than Permittee): <br /> Permittee Representative: Ben Frei <br /> Certified Mail# <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 />