2011-03-16_PERMIT FILE - M2010071

• Permit No: M2010071
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/16/2011
• Doc Name: Structure Agreement Clarification
• From: McLaughlin Water Engineers LTD
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

4
CERTIFICATION
The undersigned, (print name), (print
title), City of Lafayette does hereby certify that, subject to appropriations by the Lafayette City
Council, Xcel Energy shall be compensated for any costs incurred resulting from damage to the
above listed structure located on or within 200 feet of the proposed affected area described
within Exhibit A, of the Construction Materials Mining Permit Application, Goose Haven
Reservoir #2 - Complex Expansion resulting from the proposed mining or reclamation activities.
City of Lafayette:
Name:
STATE OF COLORADO)
)ss
Boulder County )
Title:
The fore going was acknowledged before me this
(Name) , as(Title) _
My commission expires:
day of 12011 by
, of the City of Lafayette.
Notary Public
ACCEPTED BY: (Print Name)
Xcel Energy.
Signature:
Date:
Title:
2011.
for
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