2016-12-12_ENFORCEMENT - M1999018

• Permit No: M1999018
• IBM Index Class Name: Enforcement
• Doc Date: 12/12/2016
• Doc Name: Consent Agenda Summary Form
• From: Wagner Construction, Inc.
• To: DRMS
• Email Name: LJW
• Email Name: GRM
• Email Name: AJW
• Media Type: D
• Archive: No

Consent Agreement
Page 4
November 21, 2016
Operator's Notarized Signature; As an authorized representative of the Operator, I hereby
attest that the Operator concedes to the above described violation and agrees to comply with the
Cease and Desist Order, Corrective Action, and Civil Penalty proposed in the STAFF
SUMMARY FORM FOR CONSENT A DA ITEMS.
Signed and dated this day of , 2016.
Wagner Construction. Inc.
(Operator)
Signature:
Title:
State of
r
The foregoing instrument was acknowledged before me this J day of 2016,
by kgvv, as of
Notary Public _.
My Commission Expires:
SIGNATURES MUST BE IN BLUE INK
SHERRI RENAE BIRD
Notary Public - State of Colorado
Notary ID 20164024076
My Commission Expires Jun 24, 2020