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Structure Agreement <br />This letter has been provided to you as the owner of a structure on or within two hundred (200) <br />feet of a proposed mine site. The State of Colorado, Division of Reclamation, Mining and Safety <br />( "Division ") requires that where a mining operation will adversely affect the stability of any <br />significant, valuable and permanent man -made structure located within two hundred (200) feet of <br />the affected land, the Applicant shall either: <br />a) Provide a notarized agreement between the Applicant and the Person(s) having an interest in <br />the structure, that the Applicant is to provide compensation for any damage to the structure; or <br />b) Where such an agreement cannot be reached, the Applicant shall provide an appropriate <br />engineering evaluation that demonstrates that such structure shall not be damaged by activities <br />occurring at the mining operation; or <br />c) Where such structure is a utility, the Applicant may supply a notarized letter, on utility <br />letterhead, from the owner(s) of the utility that the mining and reclamation activities, as proposed, <br />will have "no negative effect" on their utility. (Construction Materials Rule 6.3.12 and Rule 6.4.19 <br />& Hard <br />Rock/Metal Mining Rule 6.3.12 and Rule 6.4.20) <br />The Colorado Mined Land Recla►nation Board ("Board") has determined that this form, if <br />properl' executed, represents an agreement that complies with Construction Materials Rude 6.3.12(x), <br />Rule 6.4.19(a), and C.R.S. § 34- 32.5- 115(4)(e) and with Hard RocUMetal Mining Rule 6.3.12(a), Rule <br />6.4.20(a), and C.R.S. § 34 -32 -/ 15(4)(d). This fonn is for the sole purpose of ensuring compliance ►with the <br />Rules and Regulations and shall riot make the Board or Division a necessary party to an private civil <br />lawsuit to enforce the teens q( the agreement or create any enforcement obligations in the Board or the <br />Division. <br />The following structures are located on or within 200 feet of the proposed affected area: <br />Ta6r,(a 1ZWJAW 69= C,PW 41'rr, t- I-C <br />This agreement will cover the CO2 GAS PIPE LINE owned by in a <br />portion of Section 8, Township 29 South, Range 68 West, of the 6`h P.M., Huerfano County, State of <br />Colorado. <br />1. CO2 GAS PIPE LINE <br />OA <br />4. <br />5. <br />(Please list additional structures on a separate page) <br />