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Structure Agreement <br /> This letter has been provided to volt as the 0��-11e1-of a Sti,ictuie on of e ithin t,,-o Iniudred(2001 <br /> feet of a proposed thine site The Stare of C olorado.Division of Reclamation. dining alid Safety <br /> ("Division')tequiles that a lllluing operation,%ill idver�ely affect the stability,of ally significant. <br /> valuable and permanent ratan-made strucnue located xithin m-,,)hundred(200)feet of the affected laud. <br /> the Applicant shall tither: <br /> a) Provide a notarized agreement between the Applicant and the Persou(c)Navin_an iiltere"t in the <br /> structure. that the Applicant is to provide compensation for any damage to the ,trictille:or <br /> b) Where such all agreement cannot be reached. the -kpplicaut shall provide an appropriate <br /> ellgiriecrilig evaluation that deuionstimes that such stricture shall riot be damaged by activities <br /> occurring at rile nluun2 operation: or <br /> c) Where such stnlenlle is a utility-. the Applicant play supply-a notarized letter.oil utility-letterhead. <br /> frolll the civiler(s)of the utility that the mlIiing and ieclalllation activities.as proposed.will have <br /> '110 llegative effect"oil thell utility, (C onstr iterran Materials Rule 6.3.1 Z and Rule 6.4.19&Hard <br /> Rock-Metal Afinutg Rule 6.3.12 and Rule 6.4.20) <br /> The Colorado Mined Land Reclamation Board("Board") has deter inined that this for in, if <br /> proper lv eveented, r epr esertts an agreement that complies li irh Construction dater iols Ride 6.3 12(a), <br /> Ririe 6.4.19(a), and C.R.S. S 3 4-31.5-115(4)(e)arid with Hai ROCl�etal Ming Rule 6.3.1'(a), Rule' <br /> 6.4 20(a), and C.R.S. §34-3?-115(4)(d). This form Is for the sole purpose of ensuring compliance a ith the <br /> Rifles and Regulations and shall not make the Board or Division a ne'cessai-v par by to am.-privare civil <br /> lawsiat to en/Or ce the terms of the agreement Or Cr eate anv errfor cement obligations is the Boar d or the <br /> Division. <br /> The folloiliuu structures are located oil or within 200 feet of the proposed affected area: <br /> 1 Weld County Road 46 <br /> 3 <br /> I <br /> ----- ---- -- -(Please list additional sti-acrrrres on a separate page)--- — <br />