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Permit Notification Request- (Short List: Full Release, Acreage or Surety Reductions) <br />Permit ID: M 1988048 -> > <br />Permit Specialist: ECS <br />Permittee Name: LG Everist <br />Site Name: Carr Gravel Resource <br />Permitting Action:Acreage Reduction <br />Request Date: 12/13/2013 <br />Attach Application Form PDF, Exhibit A and Index Map (you don't need to use them all). <br />File Attachment w File Attachment <br />Permittee Name: LG Everist <br />Permittee Address 1: 7321 E 88th Ave <br />Permittee Address 2: <br />city: Henderson State: CO <br />County Name: Weld <br />r County Commissioners <br />J File Attachment <br />Zip Code: 80640 <br />i✓ Soil Conservation District: West Greeley <br />F OSE Water Resources - only required if site has exposed groundwater. <br />F, Land Owners (names and addresses) <br />LG Everist r i <br />7321 E 88th Ave <br />Henderson CO 80640 <br />Larry Thomas <br />331 Souix Drive <br />Cheyenne WY 82009 <br />Page 1 of 1 <br />