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COLORQD4 RECEIVED <br /> Division of Reclamation, <br /> Mining and Safety JAN 15 2019 <br /> i i1 <br /> Ceperuncnr o!Nat:a,tl Re>sotnci <br /> 1313 Sherman Street, Room 215 ORMOFFIEMAVOW <br /> Denver, CO 80203 WNMGM&VW <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT ARE SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> I <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rul 4.17) <br /> i <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) / <br /> I wish to release 1(4 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 ith this request a new estimate of <br /> the actual cost to reclaim the site based on what it would cost an indepen ent 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-1901-o5"7 Site Name: L S <br /> County: &V/d r� <br /> Permittee: r ln 5 P e, ra-6•6h <br /> Permittee Address: S7,5 A[Cg <br /> (Street Address <br /> Lo ve�a..r�d C.o gOs3� <br /> (City) (State) (Zip) <br /> ,IKq <br /> 1313 Sherman Street, Room 215, Denver,CO 80203 P 303,866.3567 F 303.832.8106 http: /mimng.state.co.us C <br /> John W. Hickentooper,Governor I Robert W. Randall, Executive Director Virgin a Brannon Director <br />