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�rv` o4co� <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />** 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866 -3567 <br />* /876 <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 <br />ACREAGE REDUCTION (PARTIAL RELEASE) DIVISION OF RECLAMATION <br />If you are requesting an acreage reduction, you will need to specify how many acres yoywmwr�MgT� <br />from the existing permit under this revision. I wish to release 0.47 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 />v File No.: M- <br />1998-022 Site Name: Conger Harvest Area <br />County: Gunnison <br />Gallegos Corporation <br />Operator (If Other than Permittee): <br />Permittee Representative: William P. Balaz Jr. <br />Certified Mail# "-7 0 / `4 0 /,�—Q e.-) 00 a -3 L2— <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 />Marble Airfield LLC <br />P. O. Box 1860 <br />Bentonville, AR 72712 <br />_ v AF & Report <br />J No Violations <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 with these Rules and all applicable requirements under the Act." <br />Operator or their authorized agent Da e <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 />