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Operator(If Other than Permittee): <br /> Permittee Representative: -Da m o� Z+AeEe t 1, Prez <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 wi these Rules and all applicable requirements under the Act." <br /> /D/3/ /ZoZs <br /> Signs e of P- itt:e, Opeior r authorized agent Date <br /> Imp rtant: accordance with Rules 4.14.2(g and 4.17.1 f3) This release request must be submitted to the <br /> Div' *on vi• certified mail and separate from any other correspondence to the Division. <br /> MmeralsRek..cReyuealFurm 2(ISep20I 7 <br /> Page 2 of 2 <br />