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of cow <br /> COLORADO DI VI; AR01 ATI ON, MINING AND SAFETY <br /> *�*�876 1313 Sherman Str orado 80203 ph(303) 866-3567 <br /> * <br /> PSH/mac <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: DECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) ❑ <br /> 5EP 19 2019 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ✓❑ @W @f RECIA ATM <br /> 44.70 t�04*0wm <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 <br /> boundary if the release is approved. 0 3 3 <br /> SURETY (Bond) REDUCTION (per Rule 4.14) ❑ 1 00 <br /> If you are requesting a surety(bond) reduction you will need to include with this request a new estimate 'v <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- 1987 164 site Name: Hayden Pit <br /> county: Routt <br /> Permittee: Oldcastle SW Group, Inc. dba United Companies <br /> 0 <br /> 2273 River Road, Grand Junction, CO 81505 o <br /> Permittee Address: In <br /> 0 <br /> m <br /> Operator(If Other than Permittee): N/A <br /> Permittee Representative:Jason Burkey <br /> Certified Mail# ?(A W$O 0MZ D69-7 CN(AS <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 /> Giacomo (Jocko) & Coleen Camilletti <br /> 10620 Hwy 40 Hayden, CO 81639 <br /> 970 276-3225 <br /> see attached map <br /> Continue on following page.. <br />