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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/SURETYREDUCTION <br />Please indicate if you are requesting: RECEIVED <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) �_ <br />SEP 0 v 2015 <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br />25.86 n"ININGANo AFEoN <br />[ wish to release acres at this time. <br />You will need to submit with this request: a map showing the acreage to be released from the current <br />permit and updated mining and reclamation plan maps that will accurately depict the new permit <br />boundary if the release is approved. <br />SURETY (Bond) REDUCTION (per Rule 4.14) ❑ <br />If you are requesting a surety (bond) reduction you will need to include with this request a new estimate <br />of the actual cost to reclaim the site based on what it would cost an independent contractor to complete <br />reclamation, including unit costs for reclamation activities as appropriate to the operation to comply <br />with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br />File No.: M- 1978-085 <br />County: Moffat <br />Permittee: Moffat County <br />Permittee Address: P.O. Box 667 <br />Site Name: Smith Pit No. 20 <br />Craig, CO 81626 <br />Operator (If Other than Permittee): <br />Permittee Representative: <br />Billy E. Mack <br />Certified Mail# 7009 2820 0002 4832 6658 <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. Bureau of Land Management, Little Snake Field Office, 455 Emerson Street, Craig, CO 81625 <br />✓ Compliance <br />✓ NO Violations <br />Continue on following page.. <br />a <br />