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RECEIVED <br /> C O L O R A D O NOV 0 3 70?1 <br /> Division of Reclamation, <br /> , Mining and Safety Colorado Division of Reclamation, <br /> Mining and Safety <br /> Deoartmen,of natural Resources, <br /> 1313 Sherman Street, Room 215 <br /> Denver,CO 80203 <br /> SL-3 <br /> TC 1/MAC <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17) <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) <br /> I wish to release S ) 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. 0 C "A <br /> File No.: M \ o V , 0�S Site Name: ( i A <br /> County: <br /> qc• <br /> Permittee: ° <br /> Permittee Address: , a <br /> (Street Address) <br /> ( 1ty) (State) (Zip) <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mimng.state.co.us <br /> John W Hickentooper, Governor I Robert W. Randall, Executive Director Virginia Brannon, Director * ** <br />