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TATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 21 S <br />Denver, Colorado 80203 <br />Phone: (3031 866-3567 <br />FAX: (303) 832-8106 <br />CONSTRUCTION MATERIALS <br />R <br />~U~cF~LF <br />0;~~so ?, O <br />~'~~ COPY LIMITED IMPACT (110) OPERATION ~af~ ?003 <br />FoR SV~7NAr~(Ar/~ECLAMATION PERMIT APPLICATION FORM ~~°~d/Say <br />''YY II~Y((~~ d <br />CPO~o9 <br />k <br />CI~CK ONE: There is a File Number Already Aasigped to this Operation <br />7 permitted acres <br />acres <br />Permit # M -~- ~ lease reference the file number curren•~,, asst ed to this o anon Michael B. Long <br />_- \+ "J ~ Per ) Division Director <br />New Application (Rule 1.4.5) _ Amendment Appbcation (Rule i. I O) <br />x Conversion Application (Rule 1.11) <br />Permit # - _-,.r--zoo,^' 0^3~ = (provide for Amettdmeots and Conversions of existing pemu[s) <br />The application for a Construction Materials Limited Lnpact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application farm; (2) Exhibits A-J, Exhtbit L, Addendmn 1, any sections of Exhibit 6.5 and Geotechttical Stability Exhibit, as required by the <br />Gffice, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When yon submit yom application, be sure to <br />include one (I) complete si®ed aad notaruxd IVORY ORIGINAL and one (1) copy of the completed Ivy application fom>, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Creotechnical Stability Exinbit), as required, and a check for the <br />application fee described ender (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8 I/2" X 11" or <br />8 1/2" X 14" size, To expedite processing, please provide tLe 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. Aoplicaptlooerator or cemnanv name (name to be used on cermitl: <br />Sessions & Sons, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): <br />1.2 I.RS. Tax ID No. or Social Security Number: 2.: <br />2. Operation came (pit. mine or site namel: <br />3. Permitted acreage thew or existin¢ site): <br />3.1 Change in acreage (+) <br />Total Acreage in Permit Area <br />Corporation <br /> <br />FairUanks Pit <br />4. Fees: <br />4.1 New Application: <br />Amendment Fee (C.R.S. 34-32.5-125(II)): <br />4.2 Conversion Fee (from 1 lOd to 110 8S 75.00 conversion fee (Rule 1.11.2(2)) <br />5. Primary rommodetie(sl to be mined: Sand Base Material <br />~~ <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAF ETY <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive Director <br />acres <br />$1.094.00 application fee <br />$719.00 application fee <br />~.1 Incidental commoditie(s) to be mined: 1. / lbs/Tons/vr 2. / Ibs/Tons/vr 3. / Ibs/Toas/yr <br />4. / Ibs/fons/vr 5. _ / Ibs/fons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road Base <br />Anticipated end use of incidental commoditie(s) to be mined: <br />