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COLORADO <br /> I Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources R <br /> ERR/MAC <br /> 1313 Sherman Street, Rom 215 <br /> Denver, CO 80203 JI"I 6 U Y073 <br /> .Powado C`Nishcn of�edc�allft <br /> mining and Spy <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> FULLIFINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17) <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) <br /> I wish to release 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 2_o t Ot 02_(., Site Name: L� <br /> County: <br /> Permittee: <br /> Permittee Address: -kLr <br /> 12.13- 160K 2,3 <br /> (Street Address) <br /> (City) —(State) (zip) <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us i t <br /> John W.Hickenlooper,Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director <br />