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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)feed of the affected <br /> land,the Applicant shall either: <br /> a) Provide a notarized agreement between the Applicant and the Person(s) having an interest in <br /> the 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 <br /> letterhead,from the owner(s)of the utility that the mining and reclamation activities, as <br /> proposed, will have "no negative effect" on their utility. (Construction Materials Rule 6.3.12 and <br /> Rule 6.4.19& Hard Rock/Metal Mining Rule 6.3.12 and Rule 6.4.20) <br /> The Colorado Mined Land Reclamation Board("Board")has determined that this form, if properly <br /> executed, represents an agreement that complies with Construction Materials Rule 6.3.12(a), Rule <br /> 6.4.19(a), and C.R.S. 34-32.5-115(4)€and with Hard Rock/Metal Mining Rule 6.3.12(a), Rule <br /> 6.4.20(a), and R.R.S. 34-32-115(4)(d). This form is for the sole purpose of ensuring compliance with <br /> the Rules and Regulations and hall not make the Board or Division a necessary party to any private <br /> civil lawsuit to enforce the terms of the agreement or create any enforcement obligations in the <br /> Board or the Division. <br /> The following structures are located on or within 200 feet of the proposed affected area: <br /> 1. County Road 27 <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> (Please list additional structures on a separate page) <br />