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.Co <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />X87 6 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866 -3567 <br />REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA <br />Please indicate if you are requesting: ❑ <br />FULL/F1NAL RELEASE OF ENTIRE PERMITTED AREA <br />ACREAGE REDUCTION (PARTIAL RELEASE) _ <br />If you are requesting an acreage reduction, you will need to specify how many acres you wish to remove <br />from the existing permit under this revision. I wish to release 110.00 acres at this time. <br />You will also need to submit updated mining and reclamation plan maps that accurately depict both the <br />proposed acreage to be released from the current permit area, and the resulting new permit boundary. <br />File No.: M- 1992 -016 site Name: Penrose Ranches <br />County: F re m o n t <br />Permittee: Rocky Mountain Materials Asphalt, Inc. <br />Operator (If Other than Permittee): <br />Permittee Representative: <br />Tom Smith <br />Certified Mail# 7012305000059877295 <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. <br />Stephen J Schnurr Living Trust 2010 Fox Mountain Point Colo. Spr., Co 80906 <br />Cell 719- 491 -3101 Office 719- 473 -3100 <br />In accordance with Rule 4.17.1(4) the Operator or their agent MUST sign that they have complied with <br />the following statement: "All applicable portions of the Reclamation Plan requirements have been <br />satisfied in accordance wi hese and all applicable requirements under the Act." <br />6/21/2013 <br />Signature of Permittee, Operator or their authorized agent Date <br />Important: In accordance with Rule 4.17.1(3)This release request must be submitted to the Division <br />via certified mail and separate from any other correspondence to the Division. <br />