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<br />~~~~ <br />DECEIVED <br />STATE OF COLORADO <br />MINED LAND RECLAMATION BOARD ~AR 1 9 2008 <br />__// ~ Division of rteclamation, <br />PARTY STATUS WI HDRA~VAL FORM Mining and Safety <br />~.. <br />In the matter of File No. M- ~~ ~ - ~ ~~ , Permit/Permit Amendment Application. <br />Name of Ope for/Applicant and Site: --'r ~ ~ ~ `- <br />I hereby withdraw as a party to this matter. <br />I hereby withdraw as a party to this matter and, if the Board holds a hearing, I <br />wish to address the Boazd at the formal hearing, ifheld, as anon-party. <br />(Please note that if all objecting parties withdraw prior to the date set for the Board's <br />consideration of the application, the application may be approved by the Office without the <br />Board holding a hearing. In that event, there will be no opportunity to address the Board on any <br />issues related to the application. Also, the Board is not obligated to consider any issues raised by <br />a person or an entity that has withdrawn as a party.) <br />Regardless of a party status, the Division thoughtfully considers each issue submitted in writing <br />to the Division and provides a response to those issues within its jurisdiction in the Division's <br />"Rationale for Recommendation." The Rationale is available to any person by contacting the <br />Division. For persons who do not wish to become a party or withdraw as a party in this matter, <br />please contact the Division for information on application status. <br />~ i ~~ nh ~, ~~ c ~-~ <br />Printed Name Home Phone # <br />ddress (1 t - Work Phone # <br />f0 (~C1 n1 \ ~,~ c o~ `~ ~~~~ ~ <br />City State Zip Code FAX # <br />' ~ ~~i - C'~ `h <br />r . ,_ ~, ,. a a_~..,. ., _ _ Date <br />12 <br />