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oF;cod <br /> $ COLORS M1977-163-SG SL03 NI NG AND SAFETY <br /> #"I I R76 Vcompliedl 0 Violations W3) 866-3567 <br /> 2 Minor Infractions DC1/jle <br /> REQUEST FOR FULL .►,,rAA t tAL RELEASE OF PERMIT AREA/SURETY RE DI ' l�VE,D <br /> Please indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑✓ 'IN 18 ZO?1 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) N'N�&�cwv4r <br /> �FErY "r <br /> I wish to release 7.60 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 <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- 1977-163-SG Site Name: Fisher Pit <br /> County: Lincoln <br /> Permittee: Lincoln County <br /> Permittee Address: P.O. Box 39 <br /> Hugo, CO 80821 <br /> Operator (If Other than Permittee): <br /> Permittee Representative: Fred Lundy <br /> Certified Mail# 10 t- -ag go-000l-o 4a -IRS-11, <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. Smithburg Family Partnership, LLLP <br /> 27451 CR 3H <br /> Genoa, CO 80818 <br /> 719-763-2414 <br /> Attn: Brenda Higgins <br /> Continue on following page.. <br />