Laserfiche WebLink
Operator If Other than Permittee): <br /> Permittee Representative: Richard Ledezma <br /> Certified Mail# 7002 3150 0006 7485 2631 <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 /> Red Tierra Equities,LLC 8301 E.Prentice Ave.,Suite 100 Greenwood Village,CO 80111 303-773-1005 <br /> CAW Equities,LLC 8301 E.Prentice Ave.,Suite 100 Greenwood Village,CO 80111 303-773-1005 <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 /> Arrirs-j 04/19/2024 <br /> Signature of e,,Operator or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2(a) and 4.17.1(3) This release request must be submitted to the <br /> Division via certified mail and separate from any other correspondence to the Division. <br /> MieenlaReleaseRequestForm 20Sep2017 <br /> Page 2 of 2 <br />