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COLORADO DIVISIO OF RECLAMATION, MINING AND SAFETY <br /> y* *�87s 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866-3567 <br /> " � <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA (per Rule 4.17) RECEIVED <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) ❑ FEB 0$ 2020 <br /> I wish to release acres at this time. DWON OF RECLAMATION <br /> You will need to submit with this request: a map showing the acreage to be released from MlNQ*MSAFETY <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit <br /> boundary 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 <br /> of the actual cost to reclaim the site based on what it would cost an independent contractor to complete o <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- ZW 011 Site Name: i-,d4k aole-v-' A--siA Q <br /> County: Z 14 lI 144I, <br /> Penn ittee:6 .4 zt,Z,` ���: d j%i��f�v� d1r1� LLc <br /> /' o <br /> Permittee Address: 2 e 1)11�G9,1 l gmc 0 Lv, jz (o <br /> Operator(If Other than Permittee): /—o {1��/-��wlJ ! �l ��1�i�' S ow <br /> Permittee Representative: <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 /> 1-- <br /> rU2� <br /> 21 - 5700 <br /> Continue on following page.. <br />