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S44 8865 Vanderwood Road <br /> Structure Agreement <br /> This letter has been provided to you as the owner of one or more structures within two hundred(200)feet of <br /> an existing mine site that is proposed for full reclamation.The State of Colorado Division of Reclamation,Mining <br /> and Safes )may adverse("Division")requires that where a mining operation(which includes reclamation adversely affect the <br /> stability any significant, man-made structure located within two hundred(200)feet of the <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 cUnot be reached,the Applicant shall-provide an appropriate <br /> engineering evaluation that demonstrates that such structure shall not be damaged by activities occurring at the <br /> mining operation;or <br /> c)Where such structure is a utility,the Applicant may supply a notarized letter,on utility letterhead, <br /> from the owners)of the utility that the mining and reclamation activities,as proposed,will have "no negative <br /> effect"on their utility. (Construction Materials Rule 6.3.12 and Rule 6.4.19&Hard RocklMetal Mining Rule <br /> 6 3.12 and Rule 6.4.20) <br /> The Colorado Mined Land Reclamation Board("Board-)has determined that this form, #properly executed <br /> represents an agreement that complies with Construction Materials Rule 6.3.12(a), Rule 6.4.19(a), and C.RS § <br /> 3¢32.5-II S(4)(e)and with Hard Rock/Metal Mining Rule 6.3.12(a),Rule 6 4.20(a), and C.RS. §34-32-115(4)(d). <br /> This form is for the sole purpose of ensuring compliance with the Rules and Regulations and shall not make the <br /> Board or Division a necessmy party to any private civil lawsuit to enforce the terms of the agreement or create any <br /> enforcement obligations in the Board or the Division. <br /> The following structures are or may be located within 200 feet of the proposed affected land: <br /> I. Home and Driveway. <br /> 2. <br /> 3. <br /> 4. <br /> Page 1 of 3 <br />