2017-03-06_REVISION - M1999018

• Permit No: M1999018
• IBM Index Class Name: Revision
• Doc Date: 3/6/2017
• Doc Name: Request for Conversion
• From: Wagner Construction
• To: DRMS
• Type & Sequence: CN1
• Email Name: ACY
• Email Name: GRM
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
STATE OF COLORADO
CONSTRUCTION MATERIALS
REGULAR (112) OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: Q✓ There is a File Number Already Assigned to this Operation
COLORADO
DIVISION OF
RECLAMATION
MINING
SAFETY
Permit # M --.15_-�- O I$ (Please reference the file number currently assigned to this operation)
New Application (Rule 1.4.5) Amendment Application (Rule LI 0)
Conversion Application (Rule 1.11)
Permit # M - 1919- () t 13 - (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application
form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you
submit your application, be sure to include one (1) _complete sinned and notarized ORIGINAL and one (1) copy of the completed
application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for
the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder; maps should be folded to
8 112" X 11" or 8 112" X 14" size. To expedite processing, please provide the information in the format and order described in this form.
2.
4.
5.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information requested below.
Applicant/ooRerator or company name (name to be used on permit): Wagner Construction, Inc.
1.1 Type of organization (corporation, partnership, etc.): Corporate
Operation_name(pit, mine or site name): Wagner Rock Pit
Permitted acreap-e (new or existing site):
3.1 Change in acreage (+)
3.2 Total acreage in Permit area
Fees:
4.1 New Application
4.2 New Quarry Application
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
Primary commodities) to be mined: gravel rock
9.74 permitted acres
18.17 acres
27.91 acres
$2.696.00 application fee
$3.342.00 quarry application
$2,229.0 amendment fee
$2.696.00 conversion fee
5.1 Incidental commoditie(s) to be mined: 1. lbs[T ns/ 2 / lbs/Tonsl
3. / lbs/Tons/yr 4. / lbs/Ton s/vr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: Construction Materials
5.3 Anticipated end use of incidental commodities) to be mined: NIA