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0T. C040� SCANNED <br />COLORADO DIVISION OF RECLAMATION MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br />X876 <br />REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br />Please indicate if you are requesting: <br />FULL/FINIAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) -.x-RECEIVED <br />ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) AUG 0 7 2017 <br />I wish to release acres at this time. DIVISION OF RECLAMATION <br />You will need to submit with this request: a ma showing "S0l 1 N AND SAFETY <br />— 008-006 <br />Permit and updated mining and reclamation plan maps th v" Cpmplied! <br />boundary if the release is approved. ""' No Violations <br />JZ <br />SURETY (Bond) REDUCTION (per Rule 4.14) WHE <br />If you are requesting a surety (bond) reduction you will need to include with this request a new <br />of the actual cost to reclaim the site based on what it would cost an independent contractor to complete <br />reclamation, i g unit costs for reclamation activities as appropriate to the operation to comply with <br />the prov'. � of u 3. I the Permit's approved Reclamation Plan. <br />Fii No.: M- 2008-006 Site Name: Serfer Pit <br />County: <br />Permittee, <br />Connell Resources Inc. <br />Permittee Address: 7785 Highland Meadows Pkwv Suite 100 <br />Ft. Collins. CO 80528 <br />Operator (If Other than Permittee): <br />Permittee Representative: Kevin Anderson 970 214-1601 kanderson@connellresources.com <br />Certified Mailrr 7015 3010 0001 7835 6335 <br />In accordance with Rule 4.17.1(2) the Operator shall include the names, addresses and phone numbers of <br />all owners of record to the affected land. Please attach additional sheets for this information if required. <br />Landowner During Mining <br />Serfer Land Ventures LLC <br />5315 E Harmony Road <br />Ft. Collins. CO 80528 <br />Chris Serbusic <br />Current Landowner <br />United Water and Sanitation District <br />8301 E Prentice Ave Suite 120 <br />Greenwood Village, CO 80111 <br />Patrick Cline or Jason Von Lembke 303 659-5000 <br />Continue on following page.. <br />