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L.G. EVERIST, INC. <br />ROCK SOLID S1Nci 1876 <br />March 22, 2012 <br />Ms. Crystal M. Gutierrez <br />7008 WCR 23.5 <br />Fart Lupton, CO 80621 <br />RE: Damage Reimbursement Agreement <br />L.G. Ever 1st, Inc. - Fort Lupton Sand and Gravel Mine Permit # M-1999-120 <br />Dear Ms. Gutierrez: <br />L.G. Everist, Inc., is making an amendment to their Colorado Mined Land Reclamation (MLR) permit to <br />extract construction materials from a tract of land located in Parts of Section 19, 30 & 31, T-2-N, R-66-W <br />and parts of Sections 25, & 36, T-2-N, R-67-W, 6th Prime Meridian, Weld County, Colorado, <br />State MLR law requires the permit applicant to agree to reimburse the owner of any permanent man-made <br />structure(s) within 200 feet of the mining area for damage done to the structure(s) as a result of the <br />permitted operation. We believe Crystal M. Gutierrez own the structure(s) listed below. L.G. Everist, Inc. <br />agrees to reimburse Crystal M. Gutierrez for any damage done to the structure(s) listed below as a result <br />of the proposed mining operation. Your acknowledging signature and a notary seal in the spaces provided <br />below should satisfy the MLR law reimbursement requirement. <br />Please return this agreement within 30 days of receiving it if at all possible. Enclosed is a stamped <br />addressed envelope so you can returned the executed agreement to us. We have also enclosed a <br />second copy of this letter that you may keep for your files. Thank you for your cooperation. <br />Sincerely, <br />Lynn Mayer Shults <br />Regulatory Manager <br />tt5 <br />cc: Division of Reclamation, Mining & Safety <br />file <br />Structure list: <br />House, fences, 3 - bams <br />By <br />otary Public <br />7321 E. 88THAvENuE, Sum .;200 <br />HENDERSON, COLORADO 80640 <br />PHONE 303287-9606 • FAx303-289-1348 <br />ACKNOWLEDGED BY: <br />Crystal M. Gutierrez <br />r <br />STATE OF Celt:Wad° ) <br />) ss. <br />COUNTY OF Orintide ) <br />The forgoing was acknowledged, subscribed <br />and syurp to beforr a Notary Public, <br />this iltn day of rl <br />My commission expires; <br />RECEIVED <br />APR 1 8 2012 <br />L G. EVERIST, INC. <br />T■ <br />