2013-07-10_REVISION - M1999120 - Laserfiche WebLink

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of �Oto COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY *�*1876 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866 -3567 REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA Please indicate if you are requesting: FULL /FINAL RELEASE OF ENTIRE PERMITTED AREA ACREAGE REDUCTION (PARTIAL RELEASE) If you are requesting an acreage reduction, you will need to specify how many acres you wish to remove from the existing permit under this revision. I wish to release 77.37 "t /- acres at this time. You will also need to submit updated mining and reclamation plan maps that accurately depict both the proposed acreage to be released from the current permit area, and the resulting new permit boundary. File No.: M- 1999 -120 site Name: Fort Lupton Sand & Gravel Mine County: Weld Permittee: L.G. Everist, Incorporated Operator (If Other than Permittee): same Permittee Representative: Lynn Mayer Shults (office - 303- 286 -2247, Imshults @lgeverist.com) Certified Mail# 7010 1060 0001 6977 0764 In accordance with Rule 4.17.1(2) the Operator shall include the names, addresses and phone numbers of all owners of record to the affected land. Please attach additional sheets for this information if required. City of Aurora, 15151 E. Alameda Parkway, # 3600, Aurora, CO 80012 Contact: Lisa Darling (office - 303 - 739 -7384, Idarling @auroragov.org) In accordance with Rule 4.17.1(4) the Operator or their agent MUST sign that they have complied with the following statement: "All applicable portions of the Reclamation Plan requirements have been satisfied in accordance with these Rules and all applicable requirements under th Act." 87 /0 .2013 Signatu 711of Permittee, O ator or their authorized agent Date Important: In accordance with Rule 4.17.10 This release request must be submitted to the Division via certified mail and separate from any other correspondence to the Division.