2005-12-15_REPORT - M2003058

• Permit No: M2003058
• IBM Index Class Name: REPORT
• Doc Date: 12/15/2005
• Doc Name: Annual Fee/Report/Map
• From: Glenn E. Sessions & Sons Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Glenn E. Sessions & Sons, Inc.
M-2003-058
Fairbanks Pit
December 4, 2005
$281.00 (Due on or before your anniversary date)
Jackson
(finnan uvo sieiamW ~n uoisinip
5002 5 t ~3~
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According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator
--Gshakl-submit-the--annual-fee; a-report and-~rnap showing-the-extent~o~current disturban~cs_..to .affected land
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual re~prt and annnal rel7ort m,~ to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Ronald F. Sessions
Permittee Name: Glenn E. Sessions & Sons, Inc.
Address: 33492 Hwy 125
P.O. Box 1076
Walden, CO 80480
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corporate O facer, Owner, or Designee
~a-la-o5
Date