2016-08-08_PERMIT FILE - M2016041

• Permit No: M2016041
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/8/2016
• Doc Name: Application
• From: Ames Construction, Inc.
• To: DRMS
• Email Name: PSH
• Email Name: ECS
• Email Name: WHE
• Media Type: D
• Archive: No

s e STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources .
R L 72 JE
1313 Sherman St.,Room 215
Denver,Colorado 80203 C O L O R A D O
Phone:[phone] &,, AUG L': d 1016 DIVISION o f
RECLAMATION
FAX:[phone] M I N I N G
DIVISION OF i,-F `; i,AATION —&—
MINING ANC SAFETY SAFETY
CONSTRUCTION MATERIALS
SPECIAL(111)OPERATION
RECLAMATION PERMIT APPLICATION FORM
li M-2016-041
The application for a Construction Materials Special 111 Operation Reclamation Permit contains four major parts:(1)the application form;
(2)Exhibits A-L,Addendum 1,and any sections of Exhibit 6.5(Geotechnical Stability Exhibit),as required by the Office,and outlined in
Rules 6.1,6.2,6.3,6.5,and 1.6.2(1)(b); (3)the application fee;(4)the Performance Warranty and if required a Financial Warranty.When
you submit your application,be sure to include one(1)completed,signed and notarized ORIGINAL and one(1)copy of the completed
application form,two(2)copies of Exhibits A-L,Addendum 1,appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit),as
required,a check for the application fee described under(4)below,and the fully executed Performance Warranty and Financial Warranty,if
required. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2" X 1 I" or 8 2" X 14" size. To expedite
processing,please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided,all information described below
1. Applicant/operator or company name(name to be used on the permit):
Ames Construction,Inc.
1.1 Type of organization(corporation,partnership,etc.): Corporation
2. Operation name(pit,mine or site name): Front Range Feed Lot Borrow
3. Permitted acreage: 6 Permitted Acres
4. New Application: S898.00 Application Fee
5. Primary commodities)to be mined: Blow Sand
6. Name of owner to the surface of affected land: Front Range Feedlot Inc
7. Name of owner to the subsurface rights of affected land: Front Range Feedlot Inc
8. Type of mining operation: II Surface a Underground 0 In-situ
9. Location information: The center of the area where the majority of mining will occur:
COUNXy., Weld County
PRINCIPAL MERIDIAN(check one): 6th(Colorado) loth(New Mexico) F Ute
SECTION(write number): S 18
TOWNSHIP(write number and check direction): T 3 fvv
North South
RANGE(write number and check direction): R East ' West
QUARTER SECTION(check one): NENW SEESW
SW
QUARTER/QUARTER SECTION(check one): NENW SE
GENERAL DESCRIPTION:(the number of miles and direction from the nearest town and the approximate elevation):
15689 Weld County Rd 49- Rangeland 16.6 miles North of 1-76 Kersey Road Exit
Office of Office of
Mined land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines