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y / pF•C <br /> 2 COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> *�rs�s et/876 1313 Sherman Street, Room 215, Deer, Colorado 80203 ph(303) 866-3567 <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: RE C F RIF n <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ <br /> ACREAGE REDUCTION(PARTIAL RELEASE per Rule 4.17) V v MAY 2 3 2016 <br /> Q, DIVISION OF RECLAMATION <br /> I wish to release 117.90 acres at this time. ` �� MININGAND SAFETY <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- 2001-022 Site Name:Green/Croissant Sand and Gravel Mine <br /> County:Weld <br /> /peimi tee: Loveland Ready Mix Concrete, Inc. <br /> Permittee Address: PO Box 299 <br /> Loveland, CO 80537 <br /> Operator(If Other than Permittee): �l Annual Fee/Report <br /> Permittee Representative:Stephanie Fancher <br /> A/ No Violations <br /> 9_505 5119973 6140 3293 49 <br /> Certified Mail# a/5 o<p�`Qf o€ j o o'er <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 /> cp. <br /> zottazalig&thi /7/14/ (ipade, 67/76 <br /> ,0 &. 2qq <br /> g405-3q quo. &c 7 2,16780 <br /> /k47 liti7i L <br /> 2/442-42- lx/6 /51 <br /> \Piles C/e/ t/t WO, L=3, 05,V <br /> Continue on following page.. <br />