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RECEIVED <br /> AUG 28 2023 <br /> of <br /> Colorado Division of Reclarrt 000,, <br /> ��. -- cow�9$ ViFlingarui:&aoy <br /> * COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> 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: n SLA <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17) LJW/THM <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) <br /> I wish to release '?Lfr�/ _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--j q3-Q -cs/1 Site Name: q;.'Tr <br /> County: 6(0 3t'aVi <br /> Permittee: 3 o nn I&Etc <br /> Permittee Address: '6j 0uyr b rA r t L -"oa <br /> Operator(If Other than Permittee): <br /> Permittee Representative: <br /> Certified Mail# <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. / 1 I //� <br /> . on '.0 V I', F/, Al SC iob.4,: Lez.,,& N4yCr/�r� 61j�'l 976 -.�?5-1F/J1 <br /> f 9 <br /> �Icav�, av► al 4-ilq,6 Cara Li laces. ke5ti id rt�. 11,o oh;� 113��L��t!"5-76- gssl <br /> �yu-rAll 5a"Ad 1) U6r+k►61t,' G J X!jn T; ima6- h C�� P©5��� �I�o -�3- 6e32 <br /> 5a✓IAe 1 5-300 o . e )JJ #- 11oY f}Ila.�c.CO-r7 6 <br /> 1-/6 ti 3£r-9 J 9 <br />