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W <br />a - <br />t COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />t » <br />1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br />REOUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br />Please indicate if you are requesting: -5'4' 1 RECEIVED <br />FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) _W1 <br />" <br />-JUL 2 5 2a�s <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) DMS1OH DFIZEC <br />LAMATIOH <br />dl1N11YG AHD <br />I wish to release acres at this time. 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- 1991-073 Site Name: Ferris Gravel Pit <br />county: Cheyenne <br />vx� Permittee: Kiowa County <br />Permittee Address: <br />PO Box 100 <br />Eads, CO 81036 <br />Operator (If Other than Permittee): <br />Permittee Representative: Rick Spady <br />Certified Mail# 70101060000234547338 <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. Paul Zimmerman 21190 CR BB Haswell, CO 81045 (719)436-2253 <br />Annual Fee/Report CW <br />d No Violations <br />Continue on following pagq.. <br />