2017-01-31_PERMIT FILE - M2017002

• Permit No: M2017002
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/31/2017
• Doc Name: Application
• From: Ames Construction, Inc.
• To: DRMS
• Email Name: WHE
• Email Name: PSH
• Email Name: ECS
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources RECEIVED
1313 Sherman St.,Room 215
Denver,Colorado 80203 JAN 31 2017 COL O P D O
D l V 1 S 1 O N O f
Phone:[phone] RECLAMATION
FAX:[phone] M I N I N G
DIVISION OF RECLAMATION _&_
MINING AND SAFETY SAFETY
CONSTRUCTION MATERIALS
SPECIAL(111)OPERATION
RECLAMATION PERMIT APPLICATION FORM
M-2017-002
The application for a Construction Materials Special I l l 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 ifrequired a Financial:Warranty.When
you submit your application,be sure to include one(1)completed,signed and notarized ORIGINAL and one(1)copy ofthc 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 Watrany,if
required. Exhibits should NU be bound or in 3-ring binders;maps should be folded to 8 2"X I 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
I. Applicantloverator or companv name(name to be used on the permit):
Ames Construction,Inc.
1.1 Type of nrganimtion(corporation,partnership,etc_): Corporation
2. Operation name(pit,mine or site name): Ard Property Borrow
3. Permitted acreage: 7 Permitted Acres
4. New Application: $898.00 Application Fee
5. Primary commodities)to be mined: Fill Dirt
6. Name of owner to the surface of affected land: Pamela K.Ard
?. Name of owner to the subsurface rights of affected land: Pamela K.Ard
S. Type of mining operation: M Surface Q Underground n In-situ
9. Location information: The center of the area where the majority of mining will occur:
CO '� Weld County
PRINCIPAL MERIDIAN(check one). 6t1,(Colorado) I Oth(New Mexico) II Ute
SECTION(write number): S 6
TOWNSHIP(write number and check d:rection): T 4 ✓ North South
RANGE(write number and check direction): R 64 East ✓ West
QUARTER SECTION(check one): NE '' NW SE SW
QUARTER/QUARTER SECTION(check one): IvE ✓ NW SE il SW
GENERAL DESCRIPTION:(the number of miles and direction from the nearest town and the approximate elevation):
24098 COUNTY ROAD SO WELD- Agricultural 3.8 miles South of US34 and WCR 49
Office of Office of
Mineri Land Reclamation Deriver - Grand]unction - Durango Active and Inactive Mines