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An example Structure Agreement which meets the requirements of the Statutes is shown below. <br />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 significant, <br />valuable and permanent man -made structure located within two hundred (200) feet of the affected land, <br />the Applicant shall either:. <br />a) Provide a notarized agreement between the Applicant and the Person(s) having an interest in the <br />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 letterhead, <br />from the owner(s) of the utility that the mining and reclamation activities, as proposed, will have <br />"no negative effect," on their utility. ( Construction Alaterials Rule 63.12 and Rule 6 4.19 & Hard <br />RocklMetal Alining Rule 6 3.12 and Rule 64:20) <br />The Colorado Mined Laird Reclamation Board ( "Board') has determined that thisform; if <br />properly executed represents an agreement than compiles with Construction Materials Rule 6.3.12(x), <br />Rule 6.4.19(a), and C.R.S. § 34- 32.5- 115(4)(e) and with Lard Rock'Metal Mining Rule 6112(a), Rule <br />6.4.20(a), and C. R.& § 34- 32- 115(4)(d)- Thisform is for the sole purpose Qfensuring compliance with the <br />Rules and Regulations and shall not make the Board or Division a necessary party to wZy pri vate civil <br />lawsuit to en lbrce 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 />1. T27 4 "(pipe4ine) as referenced in the attached map provided by Red Cedar Gathering Companyr(stnicrUre owner) <br />2. M03E 3 "(pipeline) as referenced in the attached map provided by Red Cedar Gathering Company(structure owner) <br />3. <br />4 <br />W <br />(Please list additional structures on a separate page) <br />