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OF CO4O <br /> * � �$ COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> **•1876 � 1313 Sherman Street, 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: � REC .0 <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) 1�g� <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑ JUL tj 2022 <br /> I wish to release acres at this time. DIVISION OF RECLAMATION <br /> You will need to submit with this request: a map showing the acreage to be released from'"IS�W1 currrre)n <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit SL_1 <br /> boundary if the release is approved. L,IW/THM <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- P-2010-00 3 Site Name: G/'Cy t10UI>� /�'�ir1e E�CP`orBfiG►n <br /> County: 0,9 Iray <br /> Permittee: JACK Cldtk J R. <br /> Permittee Address: /0-0, 9ox T6T 91* 33 <br /> Operator(If Other than Permittee): <br /> Permittee Representative: <br /> Certified Mail#%:rZQ 9¢0232.0 71M3229 Of <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 /> Continue on following page.. <br />