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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SA-" <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 QtJO ChM <br /> Denver,Colorado 80203 t(� tRECLAMATION <br /> R A D O <br /> �O qp ION OF <br /> Phone:(303)8663567 �� 6`ee� Hui 4 2D 18 <br /> FAX:(303)832-8106 <br /> ws►pN OF <br /> nnQ� n�� seta S'ONp RECL4Af'4r10IJ SAFETY <br /> _ASV �t0 r& —ONSTRUCTION MATERIALS ' <br /> e <br /> ire SPECIAL(111)OPERATION <br /> eGSe RECLAMATION PERMIT APPLICATION FORA <br /> � rV 1V <br /> di►k y <br /> INNING AND SAFr <br /> The application for a Construction Materials Special l l l Operation Reclamation Permit contains four major parts:(1)the application form; <br /> (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,signed and notarized ORIGINAL and one(])copy of the completed <br /> application form,two(2)copies 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 I 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 /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,all information described below <br /> 1. Applicant/operator or company name(name to be used on the permit): <br /> Ames Construction,Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.). Corporation <br /> 2. Operation name(pit,mine or site name): Front Range Feedlot Borrow 2 <br /> 3. Permitted acreage: Permitted Acres <br /> 4. New Application: $898.00 Application Fee <br /> 5. Primary commodities)to be mined: Fill Dirt <br /> 6. Name of owner to the surface of affected land: Front Range Feedlots t_l_C <br /> 7. Name of owner to the subsurface riehts of affected land: Front Rage Feedlots u.0 <br /> 8. Tvve of mining operation: M Surface a Underground 0 In-situ <br /> 9. Location information: The center of the area where the majority of mining w711 occur: <br /> COUNzLy. Weld County <br /> PRINCIPAL MERIDIAN(check one): �6th(Colorado) I Oth(New Mexico) II Ute <br /> SECTION(write number): S 27 <br /> TOWNSHIP(write number and check direction): T 06 North South <br /> RANGE(write number and check direction): R 65 East _ West <br /> QUARTER SECTION(check one): aN, <br /> E NW SE SW <br /> QUARTER/QUARTER SECTION(check one): E NW ✓ SE ]a SW <br /> GENERAL DESCRIPTION:(the number of miles and direction from the nearest town and the approximate elevation): <br /> 31834 COUNTY ROAD 34 <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />