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An example Structure Agreement which meets the requirements of the Statutes is shown below. <br /> Structure Agreement <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 mine site. The State of Colorado. Division of Reclamation. Mining 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 vvithin 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 shall 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 /> c) Where such structure is a utility. the Applicant may supply a notarized letter. on utility letterhead. <br /> from the owner(s) ofthe utility that the mining and reclamation activities. as proposed. will have <br /> .,no negative effect" on their utility. ( Construction Materials Rude 6.3.12 and Rule 6.4.19 cK Hard <br /> Rock'Aletal Alining Rule 6.3.12 and Rule 6.4.20) <br /> The Colorado Blind Land Reclamation Board("Board") has determined that This_form, if <br /> properh'executed. represents an agreement that complies ivith Construction ,Alaterials Rule 6.3.12(a), <br /> Rule 6.4,19(a). and C.R.S. §34-32.5-115(4)(e) and with Hard Rock-'.A.letal;1lining Rule 6.3.12(a), Rule <br /> 6.4.20(a). and C.R.S. �� 34-33-115(4)td). Thi.t•,fnrn► is for the.sole purpose of�ensuring compliance wish the <br /> Rules and Regulations and shall not make the Board or Division a necessart'1)C71'tl't0 Ulli'pt'►l'(dte C'n'il <br /> leni,sltil to enforce the ternl.s of the agreement oi-create ant'enforcement obligations In the Board or the <br /> Division. <br /> The following structures are located on or within 200 feet of the proposed affected area: <br /> I. Gas Pipeline within 50 feet of the Pit Boundary <br /> 2. Two Gas pipelines within the Pit Boundary <br /> 3. Rio Blanco County Road No. 5 <br /> 4. White River Electric Association Distribution line. <br /> 5. <br /> (Please list additional structures on a Separate page) <br />