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p4 Cp�p� <br /> tee. COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> ** 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br /> *1876 SL-2 <br /> TJ 1/TH M <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)�✓ �C��1 <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) C°;Or O£C 12 D <br /> 77.30 aa°o���s;0 3 <br /> I wish to release acres at this time. Mln;ng a n Of Rec� <br /> You will need to submit with this request: a map showing the acreage to be released from the currentsafatyamaton <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- 1984155 site Name: Bartley Gravel Pit <br /> County: Dolores <br /> Permittee: Dolores County Road & Bridge Department <br /> Permittee Address: PO BOX 426 <br /> 8477 Rd. 7.7 - Dove Creek, CO 81324 <br /> Operator(If Other than Permittee): <br /> Permittee Representative: Michael S. Davis <br /> Certified Mail# 1011 c),q(7© 000 1'E;; <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. Howard Lee Bartley - 474 Rd. 6100 - Kirkland, NM 87417 <br /> F40NE#— q70-- 540- 3(b'q- <br /> Continue on following page.. <br />