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� <br /> L.G. <br /> EvERIST~ INC. <br /> 7321E. 88n'AvEwvo. 8vos200 <br /> 8ocx SOLID SINCE l876 <br /> Bxwnsmmw, C01-On^no80040 <br /> EIono803'287'9006 " 1�-xx308-288'1348 <br /> SAND <br /> _��&��0� .......---------------- -----------'-------------------'-------------------'----------_ <br /> PERMITTEE / STRUCTURE OWNER AGREEMENT <br /> The CO Division of Reclamation, Mining and Safety (ORyWS), 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(o) as a naau|t of the permitted operation. <br /> L.G. Everint. Inc. shall be operator ofthe Ragsdale Reservoirs (in Weld County, Co|onodo), a sand and gravel <br /> mine, which has a reclamation plan nf developed water storage <br /> Gerald N Calvin Living Trust and Karen Herman-Calvin Living Trus owns the following struotuns/o\, which are <br /> located within 2UD feet of the permitted area: 3'banbed wire fences, 2'wm6yrwells <br /> L.G. Everist, Inc. agrees to, and certifies this agreement asfollows: <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 Structurels), which is located within 200 feet of the permitted area, as a result <br /> uf the mining operation known ao 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 Pr-RkNIT APPLICANT NOTARY FORSTRUACT URE OWNER <br /> ACKNOWLEDGED BY: ACKNOWLEDGED BY: <br /> Pennittee: Owner(s): Gerald N Calvin Living Trust and Karen <br /> Mail Address: 7321 E 88th Ave., Suite 200, Herman-Calvin Living Trust <br /> Henderson, CO 80640 Mail Address: <br /> Contact: <br /> 303-286-2247 Contact <br /> Signature: <br /> ' 77 <br /> Si natu <br /> Date: <br /> Deba <br /> STATE OF Colorado ) STATE OF Colorado ) <br /> ) ao ) os <br /> COUNTY OF Adams ) COUNTY OF W Q,�{�_l <br /> The before me this The foregoing was acknowledged before me this <br /> ' day of aAP,� 2O2O, <br /> by Lynn K8. 8hu|tsas Regulatory Manager ofLG. b of <br /> Evehat. |nc. -/ <br /> Notary Public: LNotary P b| <br /> (10 <br /> My Commission Expires: My Commission Expires: <br /> NOTARY PUBLIC NOTARY PUBLIC <br /> STATE OF COLORADO STATE OF COLORADO <br /> MY COMMISSION EXPIRES MAY 30,2023 My Commission Expires Jan.22,2021 <br /> r'"k1^1f'%~ "OILAL' 4­._t­-1-°­0"­----^"^�"~E: <br />