2021-03-24_PERMIT FILE - M2021019 ‎(2)‎

• Permit No: M2021019
• IBM Index Class Name: Permit File
• Doc Date: 3/24/2021
• Doc Name: Application
• From: Ames Construction
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Email Name: SMS
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY TVs waf A w/ Weld (w
Department of Natural Resources
ICPCOrr/lw� . D�P�r�wl1
1313 Sherman St.,Room 215
Denver,Colorado 80203 OAR 112011 C O L O R A D O
DIVISION OF
Phone:[phone] RECLAMATION
FAX:[phone] MINING
SAFETY
CONSTRUCTION MATERIALS
SPECIAL(111)OPERATION
RECLAMATION PERIMIT APPLICATION FORM
The application for a Construction Materials Special I I I Operation Reclamation Permit contains four major parts:(1)the application form;
(2)Exhibits A-L,Addendum 1,and any sections ofExhibit 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(I)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
I. 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): Burnham Property Borrow
3. Permitted acreage: 15.5 Permitted Acres
4. New Application: S898.00 Application Fee
5. Primary commodities)to be mined: Fill Dirt
6. Name of owner to the surface of affected land: Arlene Burnham
7. Name of owner to the subsurface rights of affected land: Arlene Burnham
8. Tvve of mining operation: E ,Surface [a Underground ],In-situ
9. Location information: The center of the area where the majority of mining will occur:
Weld
PRINCIPAL MERIDIAN(check one): COU1�1tT3'/. 6th(Colorado) I Oth(New Mexico) F Ute
SECTION(write number): S 6
TOWNSHIP(write number and check direction): T 9 ✓ North South
RANGE(write number and check direction): R 67 East ✓ West
QUARTER SECTION(check one): ✓ NE NW SE SW
QUARTER/QUARTER SECTION(check one): NE ✓ NW SE RSW
GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation):
6.5 miles NE of Wellington, CO Approx Elevation 5600
Office of Office of
Mined land Reclamation Denver - Grand Junction - Durango Active and Inactive Mines