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Structure Agreement <br />This letter has been provided to you as the owner of a structure : z< or within two hundred (200) <br />feet of a proposed :nine site. The State of Colorado, Division of Reclamation, Mining and Safety <br />("Disisron') 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) there 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 />RockMetal Mining Rule 6.3.1: and Rule 6 4.20) <br />The Colorado Mined Land Reclamation Board ( "Board") has determined that this form, if <br />property executed, represents an agreement that complies with Construction Materials Rule 6.3.1:(a), <br />Rule 6.4.19(a), and C.RS. 5 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. d 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 part- to any private civil <br />lawsuit to enforce the terms of the agreement or create any enforcement obligations in the Board or the <br />Dnision. <br />3. <br />4. <br />5. <br />The following structures are located on or within 200 feet of the proposed affected area: <br />RANCH FENCES AND EXISTING RANCH ROADS <br />(Please list additional structures on a separate page) <br />