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Structure Agreexiient <br /> This letter has been provided to you as the owner of a structure on or within two hundred(200) <br /> feet of a proposed trine site.The State of Colorado,Division of Recl.4mation,lltining and Safety <br /> ("Division")requires that where a mining operation will adversely affect the stability of any significant, <br /> valuable and permanent man-made structure located within two hundred.(200)feet of the aff-eetcd land, <br /> the Applicant shall either- <br /> a) Provide a notarized agreement between the Applicant and the Person(s)leaving 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 shall provide an appropriate <br /> engineering evaluation tbat dentomstrates that such structure shall not be damaged by activities <br /> occurring at the mining operation;or <br /> c) Where such stn►ctui-e is a utility,the Applicant may supply a notarized 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 tlieir Utility. (Construction Materzuls Rule 6.3,12 and Rule 6.4.19&Hard <br /> RocklUetal Mining Rule 6.3.12 and Rule 6.4.20) <br /> The Colorado Mined Land Reclamation Board("Board')has determined that this form, it <br /> properly executed,represents an agreement that complies witli Construction Materials Rude 6.3..12(a), <br /> Ririe 6.4.19(a), and C.R.S. §34-32.5-1.15(4)(e)and with Hard Rock/Metal Mining Rule 6.3.12(a), Rule <br /> 6.4.20(a), and C.R.S.§34-32-11 S(4)(rl). This f orin is for the sole purpose of ensuring compliance with the <br /> Rules and Regulations and shall not make the Board or Dtvision a necessary party to any private civil <br /> lawsuit to enforce the tenns of lire agreement or create any enforcement obligations in the Board or the <br /> Division. <br /> Tice following structures.itre located on or Nvithin 200 feet of the proposed affected area; <br /> Foundations of former buildings and roads. <br /> 1. <br /> 2. <br /> _u..�_...........- -.... -}1•w'„'..'t .�.b.d7W..i�iela..-'ti.a...�.:1+&...flf:-er•F• <br /> 4. <br /> 5. <br /> (Please list additional structures on a separate page) <br />