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COLORADO <br /> Division of Reclamation, RECEIVED <br /> Mining and Safety <br /> i <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> DIVISION OF RECLAMATION SL-1 <br /> MINING AND SAFETY ANM/JLE <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 a l I 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 ;;)0 D-,'�-Q 5 3 Site Name: <br /> County: <br /> Permittee: <br /> Permittee Address: 0 4 y 3 e le d 11 <br /> (Street Address) <br /> (City) (State) (Zip) <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303,866.3567 F 303.832.8106 http://mining.state.co.us <br /> John W. Hickentooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director <br /> " iR7G <br />