2009-12-30_PERMIT FILE - M2010002

• Permit No: M2010002
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/30/2009
• Doc Name: New 110c application
• From: Wagner Rock LLC
• To: DRMS
• Email Name: GRM
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY t?°°!
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Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203 U?L 0 2009 COLORADO

Phone: [phone] D t v t s t o N o r
RECLAMATION
FAX: [phone] JN FIELD OFFICE M I N I N G
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REG!:<,:;51fiilvG&SAFETY
SAF& T Y
CONSTRUCTION MATERIALS
Bill Ritter. Jr.
LIMITED IMPACT (:110) OPERATION Governor

RECLAMATION PERMIT APPLICATION FORM Harris D. Sherman
Executive Director
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M_ O Ronald W, Cattany
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CHECK ONE: There is a File Number Already Assigned to this Operation Division, Director
RiaturaI Resource Trustee
Permit M = - -_ (Please reference the file number currently assigned to th is 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-3, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required
by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.62(t)(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 forum, 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 8 1/2" X
I l" or 8 1/2" X 14" size. To expedite processing; please provide the information in the format and order described in this tbrm.
GENERAL OPERATION INFORMATION
"Type or print clearly, in the space provided, ALL information described below.
1. Applicant/operator or company name (name to be used on permit): W A4N6R ZDg,k Lt C_
1.1 Type of organization (corporation, partnership, etc.): L L C- • __-_.__._____
2. Operation name (pit, mine or site namew1 a w y- t, F1 T

3. Permitted acreage (new or existing situ: permitted acres
3.1 Change in acreage (i-) acres
3.2 "Total Acreage in. Permit Area ?.--Z, __---- acres
4. Bees:
4.1 New Application.- x;1,258.40 application tee
Amendment Fee (C; R.S. -4-s2.-.-1'25{1.1) j: $827.00 applicatsora fee
42 Conversion Fee (from 1101d to 110 $1,2M.00 conversion fee (Rule 1.11,2(2))
5. Primary comtoditie(s) to be mined: -SAhQ eWd ..............................
5.1 Incidental commoditic(s) to be mined: 1. lbs%Tons?yr 2. }bs`I clns/yr 3. lbs7ons./yr

4r 5. ,____.._%..--_.._.-
4. _--_-- lbs_fgg
.--ibs Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: 11, '?`Ik?jl'?.Y1.__Xa11.1 _rt'1^1W S..-.._-
Anticipated end. use of incidental con-imoditie(s) to be rnined:
Office of (Yfic e of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mine,