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of cow <br /> i�:7 <br /> * COLORAM R ATI ON, M I NI NG AND SAFETY <br /> 1313 S 5R02 , 80203 ph(303) 866-3567 <br /> JLE/mac <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: RECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ <br /> APR 0 3 2019 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) OMSI0td OF RECL."T101 <br /> I wish to release acres at this time. MNIt MO&OM o o 2P <br /> You will need to submit with this request: a map showing the acreage to be released from the current o� tV <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit g <br /> boundary if the release is approved. @ b <br /> o <br /> SURETY(Bond) REDUCTION (per Rule 4.14) 0 `� 4 <br /> If you are requesting a surety(bond)reduction you will need to include with this request a new estimate <br /> of 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 <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M- 2007-087 Site Name: Priola Pit <br /> County: Adams o <br /> r- o N <br /> Permittee: Albert Frei end Sons, Inc. o to <br /> o N N <br /> Permittee Address: P.O. Box 700, Henderson, CO 80640 <br /> Operator(If Other than Permittee): <br /> Permittee Representative: Ben Frei <br /> Certified Mail# <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 /> C A P Land Company, PO Box 105, Henderson. CO 80640 (303) q IS- $ 5 91 <br /> Continue on following page.. <br />