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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 Materials Rule 6.3.12 and'Rule 6.4.19 & Hard <br />Rock/Metal Mining Rule 6.3.12 and Rule 6.4.20) <br />The Colorado Mitred 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/114etal Mining Rule 6.3.12(a), Rule <br />6.4.20(a), and C.R.S § 34-32-115(4)(d). Thisform is for the sole purpose of ensuring compliance with the <br />Rules and Regulations and s Q may�yprivate civil <br />enforcement obligationsrd or Division a necessayyparty in the Board or the <br />lawsuit to enforce the terms of agreement or create <br />an Division. <br />The following structures are located on or within 200 feet of the proposed affected area: <br />5. <br />(Please list additional structures on a separate page) <br />O L'd 88O9-ZV2-OL6 011 96U84Ox3 i{ootseniJ d9£:17O 9 L 9 L inf <br />