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of cow pp <br /> y�0 �90 <br /> * u COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> *, * 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br /> 187s <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: RECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17) ❑✓ <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑ AUG 0 6 2024 <br /> Colorado Division of Reclamation, <br /> I wish to release acres at this time. Mining and Safety <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 <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- P2022-005 Site Name: Klondike Basin Exploratory Drilling Project <br /> County:San Miguel <br /> Permittee:Tarsis Resources USA Inc. <br /> Permittee Address: 241 Ridge St, Ste 210 <br /> Reno NV 895010000 <br /> Operator(If Other than Permittee): <br /> Permittee Representative: <br /> Certified Mail# -F" tl4 551 2a C4 <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. Colorado State Land Board Main Office Attn Bill Ryan,Director.ph.303-866-3454 1127 Sherman Street Suite 300 Denver,CO 80203 <br /> Colorado State Land Board Regional Office Attn Courtney Hurst,District Manager ph 719-589-2360 918 4th Street Suite B Alamosa 81101 <br /> Colorado State Land Board Regional Office Attn Courtney Hurst,District Manager ph 719-589-2360 918 4th Street Suite B Alamosa 81101 <br /> Colorado State Land Board Regional Office Attn Courtney Hurst,District Manager ph 719-589-2360 918 4th Street Suite B Alamosa 81101 <br /> Colorado State Land Board Regional Office Attn Courtney Hurst,District Manager ph 719-589-2360 918 4th Street Suite B Alamosa 81101 <br /> Colorado State Land Board Regional Office Attn Courtney Hurst,District Manager ph 719-589-2360 918 4th Street Suite B Alamosa 81101 <br /> Continue on following page.. <br />