2018-09-27_REVISION - M2001017

• Permit No: M2001017
• IBM Index Class Name: Revision
• Doc Date: 9/27/2018
• Doc Name: Request For Acreage Reduction
• From: L.G. Everist
• To: DRMS
• Type & Sequence: AR2
• Email Name: ECS
• Media Type: D
• Archive: No

L.G. EVEWST, INC.
RorK Soon SmrcE 1876
AFFIDAVIT
7321 E. 88m AvFmuE. Sunt: 200
HENDERSON. Coiomw 80690
NONE 303-287-9606 FAx [phone]
Acceptance of Reclamation of L.G. Everist, Inc.'s
Carbon Valley Parcel of the Carbon Valley Resource, DRMS Permit M-2001-017
Town of Firestone Acknowledgment:
The undersigned hereby acknowledges (on behalf of the Town of Firestone) that the Town of Firestone
hereby approves the reclamation of the 63.3 acres to be released from the Carbon Valley Parcel in L.G.
Everist, Inc.'s Carbon Valley Resource "as is"_
This acknowledgment does not change or nullify any previously signed contracts, letters, or
agreements between the Town of Firestone and L.G. Everist, Inc.
Signature:
Representative:
Title: Town Manager
STATE OF COLORADO )
ss.
COUNTY OF )
Date:
Acknowledged before me this day of ,2017,
by
Notary public:
My Commission expires:
Notary seal:
CV -Town Firestone-Reclam ationAsls-Sep2018.docx