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e® I C O L O R A D O RECr:IVEp <br /> Division of Reclamation, <br /> Mining and Safety Du Q 6 20zi <br /> TX,;ffi1nIPt 1 :!4,t n 1 !Iry_ I((- <br /> 1313 Sherman Street,Room 215 [)IVISION OF RECLAMATION <br /> Denver,CO 80203 MINING&SPFirTl/ <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) <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br /> I wish to release Litt 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 with this request a new estimate of <br /> 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 with <br /> the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.: M— -097 Site Name: <br /> �-Gc r�' ►v,,u n p, <br /> County: ke- <br /> 1 i v /Permittee: Ary)J1/s Lxc iy� a( ` a L�.C- <br /> �� In <br /> Permittee Address: y&2 6 L R S- <br /> (Street Address) <br /> -Cam_ Dal,113 <br /> (City) (State) (Zip) <br /> 1313 Sherman Street,Room 215,Denver,CO 80203 P 303.866.3567 F 303.832.8106 http://mtmng.state.co.us , <br /> John W. Htckenlooper,Governor I Robert W. Randall,Executive Director I Virginia Brannon,Director , <br />