2010-03-01_HYDROLOGY - M1977439

• Permit No: M1977439
• IBM Index Class Name: HYDROLOGY
• Doc Date: 3/1/2010
• Doc Name: Substitute Water Supply Plan
• From: OSE
• To: Applegate Group, Inc.
• Permit Index Doc Type: Hydrology Report
• Email Name: ECS
• Media Type: D
• Archive: No

It
Dedication of Water Rights to
Lafarge West, Inc.'s Upper Poudre Substitute Water Supply Plan
I
I, Corey Hansen representing Lafarge West, Inc. as the owner of 5.75 shares in the
Taylor & Gill Ditch, hereby affirm that 5.75 shares will be dedicated to the Upper Poudre
Substitute Water Supply Plan for the 2010 irrigation season. The 5.75 shares will not be sold,
leased, or traded to others during the term of the plan.
Signature:
Corey Hansen
Manager of Environment & Public Affairs
Date: e 6po T Z 3?` ?olb
STATE OF COLORADO
COUNTY OF, ,-&, C )
The foregoing instrument was acknowledged before me this V3- day of
r(,ta f"Lj 2010, by 1-1-41C175E?l--) and
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My commission expires: r/("30ly0-/0
Wiliness my hand and official seal.
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Notary Public op Co\o?P •?\`