2021-02-19_PERMIT FILE - M2021013

• Permit No: M2021013
• IBM Index Class Name: Permit File
• Doc Date: 2/19/2021
• Doc Name: Application
• From: Ames Construction, Inc.
• To: DRMS
• Email Name: AME
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

5TATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of
1313 Sherman RECEIVED
Denver,Colon M 20 21 -013 D O L O RA D
DIVISION OF
Phone:(303)8 RECLAMATION
FAX:(303)832 qME/mac/awa FEB 19 2021 MINING
—St—
DIVISION OF RECLAMATION SAFETY
CONSTRUCTION MATERIALNININGAND SAFETY
SPECIAL(111)OPERATION
RECLAMATION PERMIT APPLICATION FORM
The application for a Construction Materials Special 1 l 1 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 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
1. Applicant/operator or companv 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): Hofacker Property sorrow
3. Permitted acreage: 8.7 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: Eugene Hofacker
7. Name of owner to the subsurface rights of affected land: Eugene Hofacker
8. Type of mining operation: II Surface a Underground ][::I In-situ
9. Location information: The center of the area where the majority of mining will occur:
CO . Larimer
PRINCIPAL MERIDIAN(check one): '� 6th(Colorado)� l Oth(New Mexico) F Ute
SECTION(write number): S 10
TOWNSHIP(write number and check direction): T 9 North South
RANGE(write number and check direction): R 68 East ✓ West
NE
QUARTER SECTION(check one): ✓ NW SE SW
QUARTER/QUARTER SECTION(check one): NE NW SE ✓ SW
GENERAL DESCRIPTION: (the number of miles an direction from the nearest town and the approximate elevation):
4 miles N of Welling, GO Arporox Elev, 5370
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines