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c rub t <br />M - ?0D3- og STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resource 4-`423h, <br />1313 Sherman St., Room 215 <br />Dower, Colorado 80203 O L RA D O <br />CONSTRUCTION MATERIALS D I y l fOi O N o f <br />Phone: (303) 866.3567 RECLAMATION <br />FAX: (303) 832-0106 REGULAR (112) OPERATION MINING <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />8111 Rkw. Jr. <br />CHECK ONE: ® There b a File Number Already Assigned to this Operation Governor <br />Hants D. Sharman <br />Pe>ymit ?? (Please reference the file number cumntly assigned to this operation)." e a?eoor <br />u New Application (Rule 1.4.5) Amendment Application (Rule 1.10) R"W W c'" W <br />Division Director <br />Conversion Application (Rule 1.11) Ndtursl ltesareaTruaea <br />Permit # M -2 - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application force, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to <br />8 1/2" X 11" or 8 1/2" X 14" size. To expedite 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, AOL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): Glenn E. Sessions & Sons, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit. mine or site name): Fairbanks Pit <br />3. Permitted acrem (new or ezistin¢ site): 7 permitted acres <br />3.1 Change in acreage (+) 5.63 acres <br />3.2 Total acreage in Permit area 12.663 acres <br />4. Fees: <br />4.1 New Application $2.6%.00 application fee <br />4.2 New Quarry Application $3342.00 quarry application <br />4.4 Amendment Fee $2,229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.696.00 conversion fee <br />5. Prim ary commoditie(s) to be mined: Sand Road Base <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr 2. / lbs/Tons/vr <br />3. / lbs/Tonsh+r 4. / ibs/Tons/vr 5. / Ibs/Tons/w <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road Base <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of <br />Mined Land Reclamation Denver • Grand Junction + Durango <br />Office of <br />Active and Imctive Micros