Laserfiche WebLink
PERMITTEEISTRUCTURE OWNER AGREEMENT <br /> State of Colorado.Mined Land Reclamation(MLR)law requires the permit applicant(operator/permittee)to agree to <br /> reimburse the owner of any permanent man-made structure(s)within 200 feet of the permitted mining area Known as <br /> the Camilletti Pit No.2 for damage done to the structures)as a result of the permitted operation. <br /> Oldcastle SW Group, Inc.dba United Companies believes Xcel Energy. own the following structure(s),located <br /> within 200 feet of the permitted mining area: Gasline. <br /> Oldcastle SW Group, Inc.dba United Companies,agrees to reimburse you for any damage done to the listed <br /> structures as a result of the mining operation.Your acknowledging signature and a notary seal in the spaces provided <br /> below shall satisfy the MLR law requirement.Oldcastle SW Group. Inc.dba United Companies certifies this <br /> agreement as follows: <br /> CERTIFICATION:The Applicant,Oldcastle SW Group. Inc.dba United Companies.represented by Jason Burkey, <br /> as Environmental/Natural Resources Manager,does hereby certify that Xcel Energy. shall be compensated for any <br /> damage from the proposed mining operation to the above listed structures)located within 200 feet of the permitted <br /> mining area described in the MLR Permit for the Camilletti Pit No.2(M-200I-023). <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant: Oldcastle SW Group,Inc dba United Companies.2273 River Road,Grand Jct,CO 81505 <br /> Representative: Jason Burkey,Environmental/Natural Resources Manager.(970)376-5816 <br /> Signature: Date: <br /> STATE OF COLORADO <br /> ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this da} of by <br /> Jason Burkey as the Environmental/Natural Resources Manager of Oldcastle SW Group, Inc. dba United <br /> Companies <br /> M) Commission Expires: <br /> Notary Public <br /> NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Structure Owner(s): <br /> Signature: Date: <br /> Title: <br /> STATE OF COLORADO <br /> )ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this da) of • <br /> MN Commission Expires: <br /> Notary Public <br />