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(71/200404 <br />An example Structure Agreement which meets the requirements of the Statutes is shown below. <br />***************=x****************** ************ x************* :************* x******** x <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 a_ em t between the Applicant and the Person(s) having an interest in the <br />structure, that t - Ap • cant to pvide compensation for any damage to the structure; or <br />b) Where such an :r- ,, •nt c no ached, the Applicant shall provide an appropriate <br />engineering evatio hat em stra s that such structure shall not be damaged by activities <br />occurring at the ining op do or <br />c) Where such structure is a utility, the Applicant may supply a notarized o utili <br />from the owner(s) of the utility that the mining and rec tion activ <br />"no negative effect" on their utility. (Constr at ials <br />yrRock/ • Mining Ru1.3.12 and Rule 6..2 <br />The • lore %o fined Land Reclamation Board ("Board") has <br />Mr. Larry Tortorice <br />17512 County Road 83 <br />Trinidad, CO 81082 <br />Hard <br />properly e • , 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 />1. <br />2. <br />3. <br />4. <br />5. <br />The following structures are located on or within 200 feet of the proposed affected area: <br />tt\ <br />mafxo0: <br />(Please list additional structures on a separate page) <br />