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CJ <br />�)VO <br />of Soto <br />* %? COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />* <br />I87 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: RECEIVED <br />FULL /FINAL RELEASE OF ENTIRE PERMITTED AREA <br />MAY 05 2015 <br />ACREAGE REDUCTION (PARTIAL RELEASE) DIVISION OF RECLAMATION <br />If you are requesting an acreage reduction, you will need to specify how many acres you wWW,e KDowETY <br />from the existing permit under this revision. I wish to release 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- <br />1993 -023 <br />County: Moffat County <br />Permittee: Moffat County <br />Operator (If Other than Permittee): <br />Permittee Representative: <br />Billy E. Mack <br />Site Name: Cross Mountain, Pit No. <br />Certified Mail# 7009 2820 0002 4832 6771 <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 />Cross Mountain Ranch Limited Partnership <br />P.O. Box 458, Santa Barbara, CA 93102 -0458 <br />(805) 963 -6851 <br />v4F4 <br />✓ Vf) <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 />04/29/2015 <br />Signature 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 />