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tit. 14185"121t <br /> Christian Construction Inc. <br /> - 16230 Reata Rd. Peyton, CO 80831 - Christian_Construction©hotmail.com - 719-352-6625 - <br /> Structure Agreement <br /> This letter has been provided to you as the owner of the property where structures are located near where an active mine site is. <br /> The State of Colorado,Division of Reclamation,Mining and Safety("Division")requires that where a mining operation will <br /> adversely affect the stability of any significant,valuable and permanent man-made structure located within two hundred(200)feet <br /> of the affected land,the Applicant shall either: <br /> A. Provide a notarized agreement between the applicant and the Person(s)having an interest in the structure,that <br /> 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 engineering evaluation <br /> that demonstrates that such structure shall not be damaged by activities occurring at the mining operation; or <br /> C. Where such structure is a utility,the Applicant may supply a notarized letter,on utility letterhead from the <br /> owner(s)of the utility that the mining and reclamation activities, as proposed,will have"no negative effect"on <br /> their utility. (Construction Materials Rule 6.3.12 and Rule 6.4.19 and Hard Rock/Metal Mining Rule 6.3.12 and <br /> Rule 6.4.20) <br /> The Colorado Mined Land Reclamation Board("Board")has determined that this form,if properly executed,represents an <br /> agreement that complies with the Construction Materials Rule 6.3.12(a),Rule 6.4.19(a),and C.R.S. §34-32.5-115(4)(e)and with <br /> Hard Rock/Metal Mining Rule 6.3.12(a),Rule 6.4.20(a),and C.R.S. §34-32-115(4)(d).This form is for the soul purpose of <br /> insuring compliance with the 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 obligation in the Board or the Division. <br /> The following structures are located on or within 200 feet of the Elbert County Pit,Permit#M-1985-129. <br /> Structure(s)Name and/or Description: <br /> 1. Elbert Road and associated structures within 200 feet of the Elbert County Pit. <br /> ethAv 4.y i�vc.cl iO arI asSvE«��r6( S 4 w<i,'v► �� Fed al e_ G(he4- cut 5 Certification <br /> 1 <br /> The applicant, Christian Construction Inc.,does hereby certify that Elbert County shall be compensated for any damage from the <br /> Elbert County Pit mining operation to the above listed structure(s)located on or within 200 feet of the affected area. <br /> This form has been approved by the Colorado Division of Reclamation Mining and Safety Board pursuant to its authority under <br /> the Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land Reclamation Act <br /> for Hard Rock, Metal, and Designated Mining Operations.Any alternations or modifications to this form shall result in voiding <br /> this form. <br /> RECEIVED <br /> JUL 2 6 2017 <br /> DIVISION OF RECLAMATION <br /> MING AND SAFETY <br />