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RECEjv <br /> Operator(If Other than Permittee): B U RN CO Colorado, L LC. _ Jq 4Z <br /> N 1 1 '�Z4 <br /> Permittee Re resentative: o orado <br /> p Chris Oestreich A40ivisionOfp^ <br /> Certified Mail# <br /> 02-1 I9"I0 W0 2. 3242 . 2--9B 9�fe y oration, <br /> In accordance with Rule 4.17.1(2)the Operator shall include the names,addresses and phone numbers of all <br /> owners of record to the affected land. Please attach additional sheets for this information if required. <br /> Name Address Phone Number <br /> Richard J. Vogl 11995 CR 11 1/4 Longmont, CO, 80504 303 678-7850 <br /> Margaret L. Vogl 11995 CR 11 1/4 Longmont, CO, 80504 303-776-1045 <br /> Debra J. Stinar 11995 CR 11 1/4 Longmont, CO, 80504 970 284-6217 <br /> John E. Vogl 11995 CR 11 1/4 Longmont, CO, 80504 303-776-1045 <br /> Jerrilyn L. Stinar 11997 CR 11 1/4 Longmont, CO 80504 303 651 -2689 <br /> Thomas W. Stinar 11997 CR 11 1/4 Longmont, CO 80504 303 651 -2689 <br /> In accordance with Rule 4.17.1(4),if requesting a partial acreage release the Operator or their agent MUST sign that <br /> they have complied with the following statement: "All applicable portions of the Reclamation Plan requirements <br /> have been satisfied in accordance with these Rules and all applicable requirements under the Act." <br /> Chris Oestreich Digitally signed 3 Chris 9-06'0' 3/23/23 <br /> Date: 2023.03.23 10:01:19-06'00' <br /> Signature of Permittee, Operator or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2(a) and 4.17.1 Q) This release request must be submitted to the <br /> Division via certified mail and separate from any other correspondence to the Division. <br /> MineralsReleaseRequertForm 20Sep2017 <br /> Page 2 of 2 <br />