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Structure Agreement <br /> This letter has been provided to you as the owner of a structure on or within two hundred(200)feet of a proposed mine site,the, <br /> Kelly's Pond Proiect.The State of Colorado,Division of Reclamation,Mining and Safety("Division")requires that where a mining <br /> operation will adversely affect the stability of any significant,valuable and permanent man made structure located within two <br /> hundred(200)feet of the affected land,the Applicant shall either: <br /> a)Provide a notarized agreement between the Applicant and the Person(s)having an interest in the structure,that the Applicant <br /> 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 engineering evaluation that <br /> demonstrates that such structure shall not be damaged by activities occurring at the mining operation;or <br /> c)Where such structure is a utility,the Applicant may supply a notarized letter,on utility letterhead,from the owner(s)of the <br /> utility that the mining and reclamation activities,as proposed,will have"no negative effect"on their utility. <br /> (Construction Materials Rule 6.3.12 and Rule 6.4.19&Hard Rock/Meral Mining Rule 6.3.12 and Rule 6.4.20)The Colorado Mined Land <br /> Reclamation Board("Board")has determined that this form,if property executed,represents an agreement that complies with Construction <br /> Materials Rule 6.3.12(a),Role 6.4.19(a),and C R.S.§34-32.5-115(4)(e)and with Hard Rock/Metal Mining Rule 6.3.12(o),Rule 6.4.20(a),and <br /> C.R.S.f 34-32-115(4)(d).This farm is for the sole purpose of ensuring compliance with the Rules and Regulations and shall not make the Board <br /> or Division a necessary party to any private civil lawsuit to enforce the terms of the agreement or create any enforcement obligations in the <br /> Board or the Division.) <br /> The following structures are located on or within 200 feet of the proposed affected area: <br /> 1.Overhead aowerlyVs OHPL)and pules,with arc sq s <br /> CERTIFICATION <br /> The Applicant,Crossfire Aggregate Services LLC,by Perry Neil,as Manager,does hereby certify that La Plata Electric <br /> Association,Inc.(structure owners)shall be compensated for any damage from the proposed mining operation to <br /> the above listed structure(s)located on or within 200 feet of the proposed affected area described within Exhibit A, <br /> of the Reclamation Permit Application for Kelly's Pond Project(operation name),File Number M-1022- <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority under the Colorado Lard Reclamation <br /> Act for the Extraction of Construct) n Materials and the Colorado Milted land Reclamation Act for Hard Rock Metal,and Designated Mining <br /> Operations.Any alteration or madification to this form shall result In voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> F <br /> ACKNOWLEGED BY: A'�J- <br /> (Signature) <br /> Applicant Crossfire Aggrestate Servifks LLC Representative Name Perr Neil Title M der <br /> STATF,OF C19 ) <br /> ss. <br /> COUNTY OF,.LC , <br /> The foregoing was acknowledged before me this J day+tl" _t u rX 2029 by SEAL <br /> Pent/Neil as Manager of Crossfire AeereUte Services LLC. ' BERNAOEI'I E YOUNG-3jW <br /> P '�j� STATE o CO ORPUSLIADO <br /> .`My Commission Expires: / �r7 <br /> Votary Public WC�tD $LAV= it <br /> NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: A- U ---�'� (Signature) <br /> Structure Owner La Plata Electric Association,Inc. <br /> Name L�i'�_ /� 4*f0A45+. Title kifwa,� A e-&( .. <br /> STATE OF OLDR00 ) <br /> ss. <br /> COUNTY OF LX PWA ) <br /> The foregoing was acknowledged before me this day of S�� 20Oby SEAL <br /> �— � as�,.1((�i . NU4t�l" of La Plata Electric Association, Inc. <br /> Daly Commission Expires: <br /> ota Public <br /> JUM A MCINTYRE <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY it)19WO06468 <br /> MY COMMISSION EXPIRES 7/9)2026 <br />