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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 Reclamation Board("Board")has determined that this form,if <br /> properly executed represents an agreement that complies with Construction Materials Rule 6.3.12(a), <br /> Rule 6.4.19(a),and C.R.S.§34-32.5-115(4)(e)and with Hard Rock/Metal Mining Rule 6.3.12(a),Rule <br /> 6.4.20(a),and C.R.S.§34-32-115(4)(d).This form is for the sole purpose of ensuring compliance with the <br /> Rules and Regulations and shall not make the Board or Division a necessary party to any private civil <br /> lawsuit to enforce the terms of 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 /> This agreement will cover THE CULVERT CROSSING AT THE HOLTTA DITCH owned by the <br /> HOLM DITCH COMPANY C/O CORSENTINO DAIRY in a portion of Section 24,Township 27 <br /> South,Range 66 West,of the 6°i P.M.,Huerfano County,State of Colorado. <br /> 1. CULVERT CROSSING AT THE HOLITA DITCH <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> (Please list additional structures on a separate page) <br />