2010-01-11_PERMIT FILE - M2010002 ‎(2)‎

• Permit No: M2010002
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/11/2010
• Doc Name: Notices
• From: DRMS
• To: Wagner Rock LLC
• Email Name: GRM
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1343 Sherman SL, Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: (303) 832$106
R E.HVE ®
COLORADO
D I V Is 10 N OF
RECLAMATION
MINING
SA FETY
DEC 3 0 2009
GRAND .;;;t..;; : _,i }TELL) OFFICE
r" %A OF
CONSTRUCTION MATERIALS. A. r,
P0304l3>I SAFETY
LIMITED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
9111 Ritter, Jr.
Governor
Harris D. Sherman
Executive Director
M ` V 106,2. Ronald W. Canany
CHECK ONE: There is a File Number Already Assigned to this Operation Division Director
Trustee
Permit # M - -„ (Please reference the file number currently assigned to this operation)
X New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # M - - (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the
application form; (2) Exhibits A-J, Exhibit I.., Addendum 1, any sections of Exhibit 6.5 and Geotechnicah Stability Exhibit, as required
by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(h)(b); and (3) the application fee. When you submit your application, be
sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies
of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for
the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 81/2" 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.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
I. Applicant/operator or company name (name to be used on permit):. _ 62AGN61t 1!Dbk ),.LC
1.1 Type of organization (corporation, partnership, etc.): L LC. .
2. Operation name (pit, mine or site name): W to fatirA _ L7'
TT
3. Permitted acreaee (new or existing site): . Z permitted acres
3.1 Change in acreage (-h) acres
3.2 Total Acreage in Permit Area
X AL , 00 acres
4. Fees:
4.1 New Application: $1.258.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(It)): $827.00 application fee.
4.2 Conversion Fee (from i lod to 110 Si .00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie(s) to be mined: SAWD AdfaZ
5.1 Incidental commoditie(s) to be mined: I. / lbs/Tons/vr 2. / IbyTons/vr 3. / 1 on /vr
4. ! Ib& Tons/y; 5. / bs/Tollslvr
5.2 Anticipated end use of primary commoditie(s) to be mined: ?'?tAS7'I tLTtt? N !#'a
Anticipated end use of incidental commoditie(s) to be mined: -&-k-Y?___
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines