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�� of cow <br /> 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/SURETY REDUCTION <br /> Please indicate if you are requesting: RECElvED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br /> AUG'I 9 2016 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑ D"S"OF REC <br /> M!NlNO 8 S,gF�TlON <br /> I 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 n ✓Complied. <br /> of the actual cost to reclaim the site based on what it wou 0 ViolationS <br /> reclamation, including unit costs for reclamation activitie -----, -, <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M- �' �' _L`�S� Site Name: r`1 USA 4mjea <br /> U ► t <br /> County: ) (, Ynv <br /> Permittee: EIYI e.f N L b ' "— <br /> �n'l0.�k)r-0 <br /> Permittee Address: t l 1 Z=D `'1 � ' y l c7 j 2— <br /> Operator(If Other than Permittee): r'Ic1 cRQ <br /> Permittee Representative: :-L'd 4 <br /> Certified Mail# -7015 — C)&7�1 44 0 - Q a D <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 /> o <br /> 1)d _- <br /> Continue on following page.. <br />