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COLORADO �,:Cej1D <br /> p Division of tteclanlahon, <br /> Mining and Safety <br /> 1311 Sherman St met.Room 215 ,10� <br /> Denver,CO 80203 pEVISM`N NG g SA <br /> RFQUEST FOR FULL,OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if}ou are requesting: <br /> 771 <br /> FULL/FINAL. RELEASE OF ENTIRE PERN1ITI E:D AREA(per Rule 4.17) <br /> ACREAGE: REDUCTION (PAR FIAT. RITE EASE,per Rule 4.17) a <br /> I w ish to release � 110 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 /> i f the release is approved, <br /> SURETY(Bond)REDUCE ION(per Rule 4.14) a <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—Iggt7.09 7 Site Name: p( " <br /> �G<v-•{' Ivy u v� <br /> County: <br /> Permittee: _4n Vld1 Cj CLA C I'n ct LL L <br /> Permittee Address: <br /> (Street Address) <br /> wily) (state) (Zip) <br /> 1313 Sherman Street,Room 215,Denver,CO 80203 p 303.866.3567 F 303,832.8106 http://mining state.co.us C <br /> John W.Hickenlooper,Governor i Robert V1.Randall,Executive Director t Virginia Brannon,Director <br /> •� rh7r <br />