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HKw)s a;RSON, C'rrUM€DO 80640 <br /> PHONE:30<3-287-9606 F-kx 303-289-1348 <br /> carti' <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 /> Platte Valley Irrigation Company owns the following structure(s), which are located within 200 feet of the permitted <br /> area: Evans#2 & Platte Valley Canal, gauge building, diversion structures <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): Platte Valley Irrigation Company <br /> Mail Address: 7321 E 88th Ave. Suite 200 Mail Address: i�?t $©,c 33b483 <br /> Henderson, CO 80640 &1WPS CO BO(P33 <br /> Contact: Lynn M. Shults, Regulatory Mgr. Contact: -Rop"m S 1tvav\' <br /> 303-286-2247 <br /> Signature: �"" - Signature: �C�^ <br /> Date: / `� - Z- 4?10 Date: 4:N 1a0ag <br /> STATE OF Colorado ) STATE OF Colorado ) <br /> ) SS ) ss <br /> COUNTY OF Adams ) COUNTY OF )A4 <br /> The foregoing was ackn wledged before me this The foregoing was acknowledged before me this <br /> day of 2020, day of <br /> by Lynn M. Shults as Regulatory Ponager of L.G. by sof Py ICE <br /> Everist, Inc. (� {} <br /> Notary Public &t �. Ll Notary Public: <br /> My Commission Expires:M&t.j �;o loZ'� My Commission Expires: 44 odOara- <br /> MARIELA DIAZ <br /> NOTARY PUBLIC TAMARA A. SULLIVAN <br /> STATE OF COLORADO NOTARY PUBLIC <br /> NOTARY ID 20194020548 STATE OF COLORADO <br /> MY COMMISSION EXPIRES MAY 30,2023 NOTARY ID 20144014515 <br /> Y COMMISSION EXPIRES APRIL 2, 2022 <br /> CANNON-DRMS-StructureLetter&Agreement-MERGE-Jan2020 <br />