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p4•cow <br /> C M2013-036 SL1 ON, M I NI NG AND SAFETY <br /> . '* <br /> 1g76, 80203 ph(303) 866-3567 <br /> PAST DUET 0 Violations <br /> 3 Minor Infractions LJWldmc <br /> REQUEST I iL i:,.L.i.iLiL i AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> llanivat) <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) OCT 12 2021 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑ DIVISION OF KECLAMATION <br /> �ff <br /> I wish to release Al 7 G6 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. <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.File No.: M- abl3'636 Site Name: L► Ke- -�ic Du k-e, ka✓rt I/►nJ} <br /> �}" <br /> County: ItA &T-6-, <br /> Permittee: Luke- byke., �(L <br /> Permittee Address: iQ [nJ. 2 Z <br /> Operator(If Other than Permittee): <br /> Permittee Representative: ) <br /> Certified Mail# /_6 g / � d CO /0 75 <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 /> GZ Gt. -4' An he <br /> zs_ <90 yE <br /> 7s'7 4�f, R, -/9 0 <br /> Continue on following page.. <br />