2012-05-04_REVISION - M1999120

• Permit No: M1999120
• IBM Index Class Name: REVISION
• Doc Date: 5/4/2012
• Doc Name: COPIES: Proof of Publication, Adjoining Owner Return Receipt cards, 12 executed Structure Agreements
• From: ENVIROMENT, INC.
• To: DRMS
• Type & Sequence: AM2
• Email Name: ECS
• Media Type: D
• Archive: No

L.G. EVERIST, INC.
February 27, 2012
KP Kauffman CO.
1675 Broadway 28th Floor
Denver, CO 80202
RE: Damage Reimbursement Agreement
L.G. Everist, Inc. - Fort Lupton Sand and Gravel Mine Permit # M-1999-120
To whom it may concern :
L.G. Everist, Inc., is making an amendment to their Colorado Mined Land Reclamation (MLR) permit to
extract construction materials from a tract of land located in Parts of Section 19, 30 & 31, T-2-N, R-66-W
and parts of Sections 25, & 36, T-2-N, R-87-W, 6th Prime Meridian, Weld County, Colorado.
State MLR law requires the permit applicant to agree to reimburse the owner of any permanent man-made
structure(s) within 200 feet of the mining area for damage done to the structure(s) as a result of the
permitted operation. We believe KP Kauffman CO. own the structure(s) listed below. L.G. Everist, Inc.
agrees to reimburse KP Kauffman CO. for any damage done to the structure(s) listed below as a result of
the proposed mining operation. Your acknowledging signature and a notary seal in the spaces provided
below should satisfy the MLR law reimbursement requirement.
Please return this agreement within 30 days of receiving it if at all possible. Enclosed is a stamped
addressed envelope so you can returned the executed agreement to us. We have also enclosed a
second copy of this letter that you may keep for your files. Thank you for your cooperation.
Sincerely,
Lynn Mayer Shults
Regulatory Manager
cc; Division of Reclamation, Mining & Safety
file
Structure list:
3 wells- Vincent #1, Vincent #2 Funakoshi A2;
flowlines, pump units, 12' Tanks, 8' concrete tank,
tin building, separators, gas burners, wire fence,
oval tank.
ACKNOWLEDGED BY:
Kauffman CO.
• Was
CORPORATE OFFICE
300 S. PHILLIPS AVE. • SUITE 200
P.O. BOX 5829
SIOUX FALLS, SO 57117-5829
PHONE [phone]
FAX [phone]
MOUNTAIN DIVISION
7321 E. 88TH AVENUE • SUITE 200
HENDERSON, COLORADO 80640
303-287-9606
FAX [phone]
CO( COUA
STATE OF notoracto
COUNTY OF 01DejrWeir ss.
The forgoing was acknowledged, subscribed
and sworn to before me, a Notary Public,
this ; day of , .
By
TYlpra. K. RO3er
Notary Public
My xruniniss ion - ex194, res., ••••• -. ,..2, 1
, DEBRA K. PDGEFCS
• •
•
• •
• NOTARY PUBLIC
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: STATE OF COLORADO •
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