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�f C0 <br /> �9 <br /> $ —" -- ---' " -- ATI ON, MINING AND SAFETY COLORADO DIVI <br /> 1313 Sherman S xado 80203 303 86fr3567 <br /> /876''' A RO 1 ph( ) <br /> REQUEST FOR FULL OR PAR' LJW/t hmILMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: RECEIVED <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) <br /> OCT 2 $ 2019 <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) DIVISION OF RECLAMATION <br /> `1 wish to release 1 � acres at this time. MWING&SAFETY <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. <br /> � 0 <br /> SURETY (Bond) REDUCTION (per Rule 4.14) ❑ - 3 <br /> N <br /> If you are requesting a surety (bond) reduction you will need to include with this request a new estimate : a O <br /> of the actual cost to reclaim the site based on what it would cost an independent contractor to complete ' N CB! <br /> reclamation, including u4t costs for reclamation activities as appropriate to the operation to comply 6 <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. 4 <br /> File No.: M- 2 ooZ ' 8-1 Site Name: Mask r-4ndl. <br /> County: <br /> Pennittee: 'M� e— <br /> Pennittee Address: p 0 6 oX S35 to S C1;b %J�"`l < <br /> �.ID <br /> � :13 o <br /> Operator(If Other than Pennittee): <br /> Permittee Representative: Tor (�rc,�enn ��t`^ Q7rne S <br /> Certified Mail# 1019 p �`0 000O " 1i'l `139� <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 /> Continue on following page.. <br />