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• ' COLORADO RECEIVED <br /> Division of Reclamation, <br /> Mining and Safety <br /> Deuce rr ent o`Naturat Resources OCT 0 <br /> 1313 Sherman Street, Room 215 ( CLAMAtIAN <br /> ISR03 <br /> Denver, co 80203 MINING AND WSW <br /> N n <br /> � 0 K <br /> 0 'O <br /> oREQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION p <br /> Please indicate if you are requesting: o O <br /> N O <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) z <br /> 0 <br /> —i < W <br /> I wish to release acres at this time. 1 ° C� <br /> You will need to submit with this request: a map showing the acreage to be released from the current y <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit boundary <br /> if the release is approved. 1XI <br /> SURETY(Bond)REDUCTION (per Rule 4.14)If you are requesting a surety(bond)reduction you will need to include with this request a new estimate of <br /> 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 with <br /> the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M Q Site Name: <br /> County: <br /> Permittee: c1 <br /> Permittee Address: <br /> (Street Address) <br /> (City) (State) (Zip) <br /> OF Cp�O <br /> Q�f >7 <br /> 1313 Sherman Street, Room 215, Denver,CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.Co.us <br /> John W. Hickentooper, Governor I Robert W. Randall, Executive Director Virginia Brannon, Director <br />