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AetA ‘/O' ?"64p45(' ) <br /> HALL-IRWIN AGGREGATES, LLC r EIVED <br /> 301 CENTENNIAL DRIVE <br /> MILLIKEN, CO 80543 JUL 2 8 2017 <br /> (970) 587-6906 <br /> ioi I of Reclamation, <br /> Mining&Safety <br /> June 15, 2017 <br /> Reclamation Permit No: M2006003 Name: Parker-Dersham Resource <br /> Location: T1N R67W Sec 16 SW4NE4 Permit Issued:April 9, 2008 <br /> This letter is being provided to you as the owner of a structure on or within two hundred (200) feet of a <br /> proposed mine site. The State of Colorado, Division of Reclamation, Mining and Safety("Division") <br /> requires that where a mining operation may adversely affect the stability of any significant, valuable and <br /> permanent man-made structure located within two hundred (200) feet of the affected land,the <br /> applicant shall either: <br /> a) Provide a notarized agreement between the applicant and the Person having an interest in <br /> the structure,that the Application is to provide compensation for any damage to the <br /> structure; or <br /> b) Where such an agreement cannot be reached,the Application shall provide an appropriate <br /> engineering evaluation that demonstrates that such structures shall not be damaged by <br /> activities 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 <br /> and 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. §34-32-115(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. PUMP STATION <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 <br /> AURORA CITY OF(structure owner) shall be compensated for any damage from the proposed mining <br /> operation to the above listed structure(s) located on or within 200 feet of the proposed affected <br /> area described within Exhibit A of the Reclamation Permit Application for Parker-Dersham <br /> Resource, File Number: M2006003. <br />