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RECEIVED <br /> JAN 0 8 2026 <br /> DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> An example Structure Agreement which meets titre 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 within two hundred(200) feet of the affected land, <br /> the Applicant shall either, <br /> a) Provide a notarized agreement between tine Applicant and the Person(s)having an interest in the <br /> structure, that the Applicant is to provide compensation for any damage to the struc(ure;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)of the utility that the mining and reclamation activities,as proposed,will have <br /> "no negative effect"on their utility. ( Construction Materials Rule 6.3,12 and Rule 6.4.19& Hard <br /> Roek/Melal Mining Ride 6.3.12 crud Rule 6.4.20) <br /> i <br /> G <br /> The Colorado Mined Land Reclamation Board("Board') has determined that this form, if <br /> properly executed, represents cur agreement that complies with Construction Materials Rule 6.3.1261), <br /> Rule 6.4.19(a), and C.R.S. §34-32.5-115(4)(e) and with Hard Rack/Metal Mining Rude 6.3.12(a), Rude <br /> j 6.4.20(a), and C.R.S. §34-32-115(4)(d). This.lbrun is fur the sole ptapose of ensuring compliance with the <br /> Rules and Regudations and shall not make the Board or Division a necessary party to any private civil <br /> lawsuit to enforce the terms of the agreement or create any errforcernent obligations in the Board or the <br /> Division. <br /> j <br /> The following structures are located on or within 200 feet of the proposed affected area: <br /> j I. Barb wired fence twelve feet from the southern boundry of said impose__ d_aravel pit <br /> 2 <br /> I <br /> 3. <br /> j <br /> 4. <br /> 5. <br /> (Please list additional structures on a separate page) <br />