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HALL-IRWIN AGGREGATES, LLC <br /> 301 CENTENNIAL DRI`'E <br /> MILLIKEN, CO 805.13 <br /> (970) 587-6906 <br /> June 15, 2017 <br /> Reclamation Permit No: M1996060 Name: Firestien Resource <br /> Location: T6N R66W Sec 31 S2S2 Permit Issued: Dec 31, 1996 <br /> This letter is being provided to you as the own r a structure on or within two hundred (200) feet of a <br /> proposed mine site. The State of Colorado, DiWs n f Reclamation, Mining and Safety("Division") <br /> requires that where a mining operation ay adv r ly le t the stability of any significant,valuable and <br /> permanent man-made structure located i hin two u d (200)feet of the affected land,the <br /> applicant shall either: <br /> a) Provide a notarized agreement bet een th applicant and the Person having an interest in <br /> the structure,that the Application is provi a compensation for any damage to the <br /> structure; or <br /> b) Where such an agreement can t be rea ed,the Application shall provide an appropriate <br /> engineering evak q a ' that demo strates at such structures shall not be damaged by <br /> activities occurri b1t the 'ning op` a% tion; <br /> c) Where such structure a utility,t . ant may supply a notarized letter, on utility <br /> letterhead,from the ow r(s) of the utility that the mining and reclamation activities, as <br /> proposed, will have "no ne tive effect" on their utility. (Construction Materials Rule 6.3.12 <br /> and Rule 6.4.19& Hard Rock tal 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. §34-32-115(4)(d). This form is for the sole purpose of ensuring compliance with <br /> the Rules and Regulations and shall 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 Board <br /> or the Division. <br /> The following structures are located on or within 200 feet of the proposed affected area: <br /> 1. RESIDENCE <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> (Please list additional structures on a separate page) <br /> CERTIFICATION <br /> The Applicant, Hall-Irwin Aggregates, LLC, by Bret Hall, as Manager, does hereby certify that GAIL& <br /> MONTA MCCAULEY(structure owner)shall be compensated for any damage from the proposed <br /> mining operation to the above listed structure(s) located on or within 200 feet of the proposed <br /> affected area described within Exhibit A of the Reclamation Permit Application for Firestien <br /> Resource, File Number: M1996060. <br />