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it <br /> An example Structure Agreement which meets the requirements''Of the Statutes is shown below. <br /> Structure Agreement li <br /> i <br /> This letter has been provided to you as the owner of a structureon or within two hundred(200) <br /> feet of a proposed mine site.The State of Colorado,Division of Reclaation,Mining and Safety <br /> ("Division")requires that where a mining operation will adversely affoct 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 agreement between the Applicant and the Person(s)having an interest in the <br /> 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 shad 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 /> I <br /> c) Where such structure is a utility,the Applicant may supply a no arized letter,on utility letterhead, <br /> from the owner(s)of the utility that the mining and reclamation'',activities,as proposed,will have <br /> no negative effect"on their utility. (Construction Materials R�Ie 6.3.12 and Rule 6.4.19& Hard <br /> Rock/Metal Mining Rule 6.3.12 and Rule 6.4.20) <br /> The Colorado Mined Land Reclamation Board("Board')has dietermined that Ihisforrn, if <br /> represents an agreement that complies with Construe tion Materials Rule 6.3.12 a properly executed, ep gr p O, <br /> Rude 6.4.19 a, and C.R.S. 34-32.5-I15 4 (e) and with Hard Rock/Metal Mining Rule 6.3.12(a), Rule <br /> i 6.4.20(a), and C.R.S. §34-32-115(4)(d). This form is for the sole p:n pro a of ensuring compliance with the <br /> Rules and Regulations and shall not make the Board or Division a nece sary party to any private civil <br /> lawsuit to enforce the terms of the agreement or create any enforcemen obligations in the Board or the <br /> Division. <br /> The following structures are located on or within 200 feet oft a proposed affected area: <br /> 1. <br /> 2. <br /> 3' — - -- ��.-- - -- - <br /> 4. - — — --- — - - --- --- + ---- <br /> (Please list additional structures on a sepiarate page) <br />