HomeMy WebLinkAbout20152013.tiff RECEIVED
JUL 07 2015
WELD COUNTY
COMMISSIONERS
NOTICE OF FILING APPLICATION
FOR COLORADO MINED LAND RECLAMATION PERMIT
FOR CONSTRUCTION MATERIALS LIMITED IMPACT(110)OPERATION
NOTICE TO THE BOARD OF COUNTY COMMISSIONERS
WELD COUNTY
Ames Construction,Inc. (the"Applicant/Operator")has applied for a Construction Materials Limited
Impact (1 10) Reclamation permit from the Colorado Mined Land Reclamation Board (the "Board") to conduct the
extraction of construction materials in WELD County. The attached information is being
provided to notify you of the location and nature of the proposed operation. The entire application is on file with the
Division of Reclamation, Mining, and Safety (the"Division")and the local county clerk and recorder.
The applicant/operator proposes to reclaim the affected land to RANGELAND use. Pursuant to
Section 34-32.5-116(4)(m),C.R.S.,the Board may confer with the local Board of County Commissioners before approving
of the post-mining land use. Accordingly,the Board would appreciate your comments on the proposed operation. Please
note that, in order to preserve your right to a hearing before the Board on this application, you must submit written
comments on the application within ten (10)days after the date of the applicant's newspaper publication.
If you would like to discuss the proposed post-mining land use,or any other issue regarding this application,please contact
the Division of Reclamation, Mining, and Safety, 1313 Sherman Street, Room 215, Denver, Colorado 80203.
(303) 866-3567.
NOTE TO APPLICANT/OPERATOR: You MUST attach a copy of the application form to this notice. If this is a notice
of a change to a previously filed application you must either attach a copy of the changes,or attach a complete and accurate
description of the change.
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`7- 13-62o/5" CC: j?L ?/7 2015-2013
STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources
1313 Sherman St.,Room 215 COLORADO
Denver,Colorado 80203 DIVISION OF
Phone:(303)866-3567 RECLAMATION
FAX:(303)832-8106 MINING
St—
SAFETY
CONSTRUCTION MATERIALS
LIMITED IMPACT(110)OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: There is a File Number Already Assigned to this Operation
Permit# M - - - (Please reference the file number currently assigned to this operation)
I New Application(Rule 1.4.5) _ Amendment Application(Rule 1.10)
Conversion Application(Rule 1.11)
Permit# M - - - (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact(I 10) Operation Reclamation Permit contains three major parts: (1)the
application form;(2)Exhibits A-J,Exhibit L.Addendum 1,any sections of Exhibit 6.5 and 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):and(3)the application fee. When you submit your application,be sure
to include one(1)complete signed and notarized ORIGINAL and one(1) copy of the completed application form, two(2) copies of
Exhibits A-J, Exhibit L, Addendum 1,and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required,and a check for the
application fee described under(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be folded to 8 1/2"X 1 I"or 8
1/2" 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 company name(name to be used on permit): Ames Construction, Inc.
1.1 Type of organization(corporation,partnership,etc.): Corporation
2. Operation name(pit,mine or site name): Gray Borrow
3. Permitted acreage(new or existing site): 9.5 permitted acres
3.1 Change in acreage(+) acres
3.2 Total Acreage in Permit Area 9.5 acres
4. Fees:
4.1 New Application: $1258.00 application fee
Amendment Fee(C.R.S. 34-32.5-125(11)): $827.00 application fee
5. Primary commoditie(s)to be mined: Borrow
5.1 Incidental commoditie(s)to be mined: 1. / lbs/Tons/yr 2. / lbs/Tons/yr 3. / lbs/Tons/yr
4. / Ibs/Tons/vr 5. / Ibs/Tons/vr
5.2 Anticipated end use of primary commoditie(s)to be mined: Construction fill material
Anticipated end use of incidental commoditie(s)to be mined:
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II. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Ken Isenberger Title: Permit Coordinator
Company Name: Ames Construction, Inc,
Street/P.O. Box: 18450 E 28th Ave. P.O. Box:
City: Aurora
State: Colorado Zip Code: 80011
Telephone Number: (303 )_ 363-1000
Fax Number: (303 )_ 363-4080
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( )-
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Ken Isenberger Title: Permits Coordinator
Company Name: Ames Construction, Inc.
Street/P.O. Box: 18450 E 28th Ave. P.O. Box:
City Aurora
State: Colorado Zip Code: 80011
Telephone Number: (303 )_ 363-1000
Fax Number: (303 )- 3634080
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
-3 -
7. Name of owner of the subsurface rights of affected land: Steven Gray
8. Name of owner of the surface of affected land: Steven Gray
9. Type of mining operation: � Surface l l Underground In-situ
10. Location information: The center of the area where the majority of mining will occur:
COUNTY: Weld
PRINCIPAL MERIDIAN (check one): r`� 6th(Colorado) 10th(New Mexico) Ute
SECTION(write number): S 14
TOWNSHIP(write number and check direction): T 2.0 ✓ North El South
RANGE(write number and check direction): R 64.0 El East ✓ West
QUARTER SECTION(check one): ✓ NE C I NW SE f SW
QUARTER QUARTER SECTION(check one): NE ✓ NW SE SW
GENERAL DESCRIPTION:(the number of miles and direction from the nearest town and the approximate elevation):
2.5 miles northeast of Keenesburg, CO via County Road 59 Elevation = 4,930
11. Primary Mine Entrance Location(report in either Latitude/Longitude OR UTM):
Latitude/Longitude:
Example: (N) 39° 44' 12.98"
(W) 104° 59' 3.87"
Latitude(N): deg 40 min 08 sec 35 11.00 (2 decimal places)
Longitude(W): deg 104 min 30 sec 33 73.00 (2 decimal places)
OR
Example: (N) 39.73691°
(W) -104.98449°
Latitude(N) (5 decimal places)
Longitude(W) (5 decimal places)
OR
Universal Tranverse Mercator(UTM)
Example: 201336.3 E NAD27 Zone 13
4398351.2 N
UTM Datum(specify NAD27,NAD83 or WGS 84)_NAD83 Zone 13
Easting
Northing
-4-
12. Primarjuture(Post-mining)land use(check on€):
Cropland(CR) Pastureland(PL) General Agriculture(GA)
Rangeland(RL) Forestry(FR) Wildlife Habitat(WL)
Residential(RS) — Recreation(RC) Industrial/Commercial(IC)
Developed Water Resources(WR) Solid Waste Disposal(WD)
13. Primpresent land use(check one):
Cropland(CR) Pastureland(PL) General Agriculture(GA)
✓ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL)
Residential(RS) Recreation(RC) Industrial/Commercial(IC)
Developed Water Reso
urces(WR) Minin
g(MN)
14. If this operation will use designated chemicals,or will result,or presently has acid mine drainage-you cannot use this application
form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case,you must list
any acidic or toxic-forming materials,exposed or disturbed as a result of the mining operation, and whether the operation will
result in or presently has acid mine drainage:
None
15. Description of Amendment or Conversion:
If you are amending or converting an existing operation,provide a brief narrative describing the proposed change(s):
Maps& Exhibits:
Submit two(2)complete, unbound copies of the following application exhibits:
6.3.1 EXHIBIT A -Legal Description and Location Map
6.3.2 EXHIBIT B- Site Description
6.3.3 EXHIBIT C- Mining Plan
6.3.4 EXHIBIT D-Reclamation Plan
6.3.5 EXHIBIT E-Maps,to include the location of any recorded easements
6.3.6 EXHIBIT F-List of Other Permits and Licenses Required
6.3.7 EXHIBIT G - Source of Legal Right-to-Enter
6.3.8 EXHIBIT H- Municipalities Within a Two-mile Radius
6.3.9 EXHIBIT I -Proof of Filing with County Clerk
6.3.10 EXHIBIT J-Proof of Mailing Notices of Permit Application
6.3.12 EXHIBIT L-Permanent Man-Made Structures
1.6.2(1)(b) ADDENDUM 1 -Notice Requirements(sample enclosed)
6.5 Geotechnical Stability Exhibit(as required)
-5 -
Responsibilities as a Permittee:
Upon application approval and permit issuance,this application becomes a legally binding document. Therefore,there are a number of
important requirements which you,as a permittee,should fully understand. These requirements are listed below. Please read and initial
each requirement. in the space provided. to acknowledge that you understand your obligations. If you do not understand these
obligations then please contact this Office for a full explanation.
I. Your obligation to reclaim the site is not limited to the amount of the financial warranty. You assume legal liability
for all reasonable expenses which the Board or the Office may incur to reclaim the affected lands associated with your
mining operation in the event your permit is revoked and financial warranty is forfeited;
2. The Board may suspend or revoke this permit,or assess a civil penalty.upon a finding that the permittee violated the
terms or conditions of this permit, the Act. the Mineral Rules and Regulations. or that information contained in the
application or your permit misrepresent important material facts:
3. If your mining and reclamation operations affect areas beyond the boundaries of an approved permit boundary,
substantial civil penalties.to you as permittee can result:
4. Any modification to the approved mining and reclamation plan from those described in your approved application
requires you to submit a permit modification and obtain approval from the Board or Office;
5. It is your responsibility to notify the Office of any changes in your address or phone number;
6. Upon permit issuance and prior to beginning on-site mining activity.you must post a sign at the entrance of the mine
site,which shall be clearly visible from the access road,with the following information(Rule 3.1.12):
a. the name of the operator;
b. a statement that a reclamation permit for the operation has been issued by the Colorado Mined Land
Reclamation Board;and,
c. the permit number.
7. The boundaries of the permit boundary area must be marked by monuments or other markers that are clearly visible
and adequate to delineate such boundaries prior to site disturbance;
, 8. It is a provision of this permit that the operations will be conducted in accordance with the terms and conditions listed
in your application,as well as with the provisions of the Act and the Mineral Rules and Regulations in effect at the time the
permit is issued.
9. Annually,on the anniversary date of permit issuance,you must submit an annual fee as specified by Statute,and an
annual report which includes a map describing the acreage affected and the acreage reclaimed to date(if there are changes
from the previous year),any monitoring required by the Reclamation Plan to be submitted annually on the anniversary date
of the permit approval. Annual fees are for the previous year a permit is held. For example,a permit with the anniversary
date of July 1, 1995,the annual fee is for the period of July 1. 1994 through June 30, 1995.Failure to submit your annual
fee and report by the permit anniversary date may result in a civil penalty,revocation of your permit,and forfeiture of your
financial warranty. It is your responsibility, as the permittee, to continue to pay your annual fee to the Office until the
Board releases you from your total reclamation responsibility.
10. For_joint venture/partnership permittee:the signing representative is authorized to sign when document and a power
of attorney(provided by the partner(s))authorizing the signature of the representative is attached to this application.
-6-
NOTE TO COMMENTO
RS/OBJECTORS:
It is likely there will be additions,changes,and deletions to this document prior to final decision by the Office. Therefore_if you have
any comments or concerns you must contact the applicant or the Office prior to the decision date so that you will know what changes
may have been made to the application document.
The Office is not allowed to consider comments,unless they are written,and received prior to the end of the public comment period.
You should contact the applicant for the final date of the public comment period.
lfyou have questions about the Mined Land Reclamation Board and Office review and decision or appeals process,you may contact the
Office at(303)866-3567.
-7-
Certification:
As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements of the
following terms and conditions:
I. All necessary approvals from local government have been applied for(Section 34-32.5-110(1)(a)(VIII).
2. To the best of my knowledge,all significant,valuable and permanent man-made structure(s)in existence at the time this
application is filed, and located within 200 feet of the proposed affected area have been identified in this application
(Section 34-32.5-1 15(4)(e).C.R.S.). (NOTE: For 110 operations,the affected area includes all lands delineated by the permit
boundary.)
3. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-115(4)(f),
C.R.S.).
4. As the applicant/operator,I do not have any mining/exploration operations in the State of Colorado currently in violation of
the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials(Section 34-32.5-120,C.R.S.).
5. I understand that statements in the application are being made under penalty of perjury and that false statements made herein
are punishable as a Class I misdemeanor pursuant to Section 18-8-503,C.R.S. 1984.
This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32.5-110,C.R.S.,of the Colorado Land
Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of this form shall result in voiding any
permit issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties for operating
without a permit pursuant to section 34-32.5-123, C.R.S.
1
Signed and dated this -2 vx Cif day of °"c` [7/ C> I ,
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S 1.,.. 5- t_ c. ' -- L.0 ,� If Corporation Attest(Seal)
Applicant/Operator /JO/
—
Signed: / /Z _r.L�"----ti:,-e-'17,---"-----
/ Signed: _'---1:1\--__,
Corporate Secretary or Equivalent
Title: Permits Coordinator Town/City/County Clerk
State of i,c7((V1CIAC`) )
)ss.
County of c----\(\_- R1'Y-1. )
The foregoing instrument was acknowledged before me this a,,- day of.�t).� o�U 1 n5 ,
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Notary Public
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My Commission expires: f �
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SIGNATURES MUST BE IN BLUE INK CATHERINE ANN HARRISON
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID: 19974014716
MY COMMISSION EXPIRES AUGUST 21,2017
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