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COLORADO v' o <br /> Division of Reclamation, 3 <br /> Mining and SafetySR01 ��'� �01 o j <br /> Department of Natural Resources DIVISION OF RECLAMATION a tD <br /> 1313 Sherman Street, Room 215 MINING AND WETY <br /> Denver, CO 80203 0 <br /> O O <br /> co <br /> N O <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Z <br /> Please indicate if you are requesting: ° <br /> 2 0 <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) Z ? <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <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 boundary <br /> 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 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 - C'( Site Name: c <br /> County: <br /> Permittee: <br /> Permittee Address: (--'�.—D <br /> (Street Address) <br /> Z3X -�_ \ <br /> (City) (State) (Zip) <br /> OF <br /> O <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. Hickenlooper, Governor I Robert W. Randatl, Executive Director Virginia Brannon, Director All ,. <br />