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AVW COLORADO RECEIVED <br /> li Division of a&VReclamation, <br /> Minin--- ^-_---- MAY U 3 2021 <br /> Departrr <br /> 1313 Sn M2009-054 SL03 DIVISION OF RECL4MATjOU <br /> Denver. Complied! <br /> 0 Violations MINING AND <br /> 2 Minor Infractions DC1/jle <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 �l 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 and updated mining and reclamation plan maps that will accurately depict the new permit boundary <br /> 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 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 A009 _ Site Name: <br /> County: <br /> Permittee: (iI <br /> Permittee Address: <br /> 60 <br /> (Street Address) <br /> (City) (State) (Zip) <br /> Og c <br /> 9 <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us $j <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director *\\,$7s'** <br />