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C <br />OQ <br />'�4• p ?9 <br />X876 <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />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/FINAL RELEASE OF ENTIRE PERMITTED AREA ❑ MAY <br />6 ?.014 <br />ACREAGE REDUCTION (PARTIAL RELEASE) DIVISIONOF <br />If you are requesting an acreage reduction, you will need to specify how many acres you ft�1 <br />from the existing permit under this revision. I wish to release 0.87 acres at this &1/0N <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 />Pool File No.: M- <br />1999 -033 site Name: Howard Creek Pit #1 & #2 <br />County: Fremont <br />Permittee: Fremont County Board of Commissioners <br />Operator (If Other than Permittee): <br />Permittee Representative: Tony Adamic <br />Certified Mail# 7012 1640 0000 1196 9757 <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 />Avenger Productions, Inc. B.J. Scahill, 8300 Fritzen Avenue, Las Vegas, NV 89131 <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 accorda e with these Rules and all applicable requirements under the Act." <br />eci/L <br />Si ature of Permittee, Operator or their authorized agent Date <br />a n <br />Important: In accordance with Rule 4.17.10) This release request must be submitted to the Division <br />via certified mail and separate from any other correspondence to the Division. <br />v/Ar1.n_ucJ F d- Re 3r+ vliw V(-,jco on_S <br />