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In accordance with Rule 4.17.1(4), if requesting a full or partial acreage release the Operator or their <br /> agent MUST sign that they have complied with the following statement: "All applicable portions of the <br /> Reclam requirements have been satisfied in accordance with these Rules and all applicable <br /> requirements aer the Act." <br /> 09/29/2023 <br /> Signature of Permittee, Operator or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2(a) and 4.17.10This release request must be submitted <br /> to the Division via certified mail and separate from any other correspondence to the Division. <br />