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 17, 2012
Ms. Penny Rankin
12331 WCR 14.5
Fort Lupton, CO 80621
RE: Damage Reimbursement Agreement
L.G. Everist, Inc. - Fort Lupton Sand and Gravel Mine Permit # M-1999-120
Dear Ms. Rankin:
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 Penny Rankin own the structure(s) listed below. L.G. Everist, Inc.
agrees to reimburse Penny Rankin 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:
30' Road ROW, House, 2-3 wire fences, 5 -
outbuildingt, WAter well
• SC
At
rica " 1
•
RECEIVED
MAR 0 7 2012
L. G. EVERIST, INC.
ACKNOWLEDGED BY:
f\1/4 PennyRarkn
STATE OF Coter4LAD
COUNTY OF We-14
The forgoing was acknowledged, subscribed
and sworn to before me, a Notary Public,
this 4.1.4. day of Ao■ArreV. 441012.
By e YIN4
41404,....
Notary Pu lic
My commission expires:
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]
SS.
)717 0012