..E , Le G. EA VERIST, INC.
<br /> d 7321 E. 38r,t �1 t'NUl". Surri:200
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<br /> Hr•_norrzs<,N, COLORADO 80E340
<br /> - PHONE 303-287-9606 Ft-N 303-289-1348
<br /> PERMITTEE / STRUCTURE OWNER AGREEMENT
<br /> The CO Division of Reclamation, Mining and Safety (DRMS), abiding by the State of Colorado, Mined Land
<br /> Reclamation (MLR) Law, requires the permit applicant/operator to agree to reimburse the owner of any
<br /> permanent man-made structure(s)within 200 feet of the permitted mining area for damage done to the
<br /> structure(s) as a result of the permitted operation.
<br /> L.G. Everist, Inc. shall be operator of the Ragsdale Reservoirs (in Weld County, Colorado), a sand and gravel
<br /> mine, which has a reclamation plan of developed water storage
<br /> Cannon Land Company owns the following structure(s), which are located within 200 feet of the permitted area:
<br /> Fences, 3-bridges, powerlines. North-House, 7-sheds, carport, barn, water well. Mid- House, barn, shed,
<br /> water well, grain elevator, 3-silos, shed. South -House, barn, 9-sheds, water well, water lines, 2-sprinkler
<br /> pivots, diversion structures, pump houses, 9-water wells
<br /> L.G. Everist, Inc. agrees to, and certifies this agreement as follows:
<br /> The permittee, L.G. Everist, Inc., does hereby certify that the above-named Owner shall be compensated for
<br /> any damage to the above-listed Structure(s), which is located within 200 feet of the permitted area, as a result
<br /> of the mining operation known as Ragsdale Reservoirs.
<br /> A signature by the Structure Owner and a notary seal in the spaces provided below shall satisfy the MLR law
<br /> requirement. A copy of the signed notarized agreement shall be kept by L.G. Everist and the structure owner.
<br /> NOTARY FOR PERMIT APPLICANT NOTARY FOR STRUCTURE OWNER
<br /> ACKNOWLEDGED BY: ACKNOWLEDGED BY:
<br /> Permittee: L.G. Everist Inc. Owner(s): Cannon Land Company
<br /> Mail Address: 7321 E 88th Ave., Suite 200, Mail Address: 9359 S w Sc,/o2 T7� QL v
<br /> Henderson, CO 80640 SM)1'7:- "7-2 a Zr v $0'22
<br /> Contact: Lynn M. Shults, Regulatory Mqr. Contact: /c-(c C_W'«o"/
<br /> 303-286-2247
<br /> Signature: Signature: ---____
<br /> Date: (�% — `�7 ','! Date: J-Z/3 12 ra o
<br /> STATE OF Colorado ) STATE OF Colorado )
<br /> ) ss ) ss
<br /> COUNTY OF Adams ) COUNTY OF
<br /> The foregoing was acknowledged before me this The foregoing was ackn wledged before me this
<br /> day of 1�,��r�� 12020, 1,34A da of fit , c2aa0
<br /> by Lynn M. Shults as Regulatory Manager of L.G. by (r! K ffI4 of Ul�luihelq' 6" do.
<br /> Everist, Inc.
<br /> Notary Public:L�A, &� Notary Public: _
<br /> My Commission Expires: iV ( '2 My Commission Expires.-4*/ at
<br /> MARIELA DIAZ DENISE A MCNEELY
<br /> NOTARY PUBLIC NOTARY PUBLIC
<br /> STATE OF COLORADO STATE OF COLORADO
<br /> NOTARY ID 20194020548
<br /> MY COMMISSION EXPIRES MAY 30,2023 NOTARY ID F20034027350
<br /> MY COMMISSION EXPIRES AUGUST 15,2023
<br /> CAN NON-DRMS-StructureLetter&Agreement-MERGE-Jan2020
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