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Operator(If Other than Permittee): <br /> Permittee Representative: <br /> "bin v-lpn Zkcfc l) �rc�ji� tw�" <br /> Certified Mail# <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 /> H.I.B.E. LLC 5586 W. 19th St. Ste. 2000 970 587-7200 <br /> Greeley, Colorado 80634 <br /> 303 S. Broadway B 200 <br /> Carl Eiberger Denver, Colorado 80209 303 880-4001 <br /> Aggregate Industries 1687 Cole Blvd Ste 300 <br /> WCR INC Lakewood, Colorado 80401 303 985-1070 <br /> City of Aurora 15151 E. Alameda Pkwy 3600 303 739-7000 <br /> Aurora, Colorado 80012 <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 /> Signs re of P ittee, Oper r authorized agent Date <br /> Im ortant: accordance with Rules 4.14.2(a) and 4.17.1(3j This release request must be submitted to the <br /> Division a certified mail and separate from any other correspondence to the Division. <br /> MmeraleRekr,,rReque..tFonu 2OSep21 7 <br /> Page 2 of 2 <br />