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txniait i - vrooT oT riiing min Vounty t;iem <br /> nstrument #: 20210016552 <br /> 3ecording Date: 02/16/2021 at 4:32.18 PM <br /> Document:Larimer County <br /> n Q.In OL C90 <br /> Go to Page: <br /> 1-561 <br /> t"'Wt P"" » CC= RECEPTION#20210016552, 2/16/24121 4:32:18 PM,1 of 1%,S283.25 <br /> Angela Nl)erx,Clerk& Recorder,Larimer Coumh,CO <br /> STATE OF COLORADO <br /> Document Information <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> Instrument 0 20210016552 1313 Sherman SL,Room 215 C O L O R A D O <br /> BooWFage Denver,Colorado 80203 <br /> o <br /> DIVISION OF <br /> Record Date 02/16/2021 04 32 18 PM Phony.(303)8663567 RECLAMATION <br /> Book ripe RE FAX:(303)832-8106 MINING <br /> SAFETY <br /> Doc Type MINING DOCUMENTS <br /> Number of Pages 56 CONSTRUMON MATERIALS <br /> Grantor AMES CONSTRUCTION INC <br /> HOFACKER EUGENE SPECIAL(111)OPERATION <br /> BERGSTROM KIRK <br /> Grantee HOFACKER PROPERTY BORROW RECLAMATION PERMIT APPLICATION FORM <br /> 9ACRE HOFACKER PROPERTY BORROW PIT <br /> Doc Link MINING DOCUMENTS-19870071953 SPECIAL WARRANTY DEED <br /> MINING DOCUMENTS-20210016552 MINING DOCUMENTS <br /> Internal Notes <br /> Doc Legals SEC N 9 R E 68 <br /> INDIA <br /> SUB.INDIAN CREEK RESERVOIR The application for a Construction Materials Special I I I Operation Reclamation Permit contains four major pans:(1)the application form; <br /> SUB.CLARK RESERVOIR (2)Exhibits A-L,Addendum 1,and any sections of Exhibit 6.5(Geotechnical Stability Exhibit),as required by the Office,and outlined in <br /> 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 <br /> you submit your application,be sure to include one(1)completed,slaned and notarized ORIGINAL and one(1)copy of the completed <br /> application form,two(2)topics of Exhibits A-L,Addendum 1,appropriate sections of Exhibit 6.5(Geotechnical Stability Exhibit),as <br /> required,a check for the application fee described under(4)below,and the fully executed Performance Warranty and Financial Warranty,if <br /> required. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2"X l I"or 8 2"X 14"size. To expedite <br /> processing,please provide the information in the format and order described in this form. <br />