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l G1 <br />AGREEMENT FOR COMPENSATION BY MINING OPERATION <br />(MAN-MADE STRUCTURES WITHIN 200 FEET) <br />Colorado State law requires that man-made structures within 200 feet of a mining operation be <br />given special consideration. If the mining operation damages a man-made structure within 200 feet, <br />the mining operator will repair the structure, replace the structure, or compensate the owner of the <br />structure its fair market value. Maps in the vicinity of the proposed mining operation indicate that <br />you own a structure(s) within 200 feet of this proposed permit boundary. 'RECENE� <br />Name /Type of Structure(s):1 <br />By signing this <br />reement, the owner of the <br />ledges <br />t they have <br />informed of he permiappli application and agree to the arrangemeniTof repair, replacement eplacement�oi� ��seon � & safes <br />P11OVng <br />compensation if the mining operation damages any of their structures as substantiated by proper <br />evidence and documentation. By signing this Agreement, the mining operator acknowledges their <br />responsibility as stated above. <br />Other Considerations: \i� A <br />ik <br />IN WITNESS WHEREOF, this Agreement is made this _j `� day of v� , 2015. <br />SSC uC,QW c' e <br />Mine Operator: Su tments, LLP <br />By: y: <br />Print ame: da,�;� �}�\���� PrintNaane: �rticsL S. •� <br />Title: Title: fytgn-gl�i.�e, x e,y ,c. <br />State of <br />j 5S. <br />County of <br />The foregoing instrument was acknowledged before me this ! , t� day of 2015 <br />by as ����_ne r,rr of `it�r,.)►Q..3�\ec.�50�` <br />Witness my hand and official seal. <br />CATHERINE HANWEN LM' <br />WrARY PUMM <br />STATE OF 04�.ORAW <br />My Commissio X17 <br />Page I of 2 <br />Notary Public <br />