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<br />:'~~EIVED <br />_ ,;,: <br />AGREEMENT OE COMPENSATION ~ .,;;,~R of Minerals 8 Geology <br />the Colorado Mined Land Reclamation Act requires that landowners which live next a <br />proposed raining operation bt informed about the mine and the reclamation. Further, a Act <br />provides protection for your structures which are within 200 feet of a mixing operati <br />In order for this operation to be closer than 200 feet to your structures, we need your p rssion. <br />We must commit to repairing, replacing, or compensating you for any damage that mi ht be <br />caused to these structures by our mining operation. <br />With this agreement, we ate requesting your authorization to conduct out mining op lion <br />closer than Z00 feet to you structures which may include fences, irrigation ditches, ro <br />railroads, gas/water pipelines, houses, end other buildings. Ip addition, we commit if our <br />operation causes damage to any of these structures we will repair them, replace them, <br />compensate you for their value. <br />We ask that you sign this agreement aclmowtedging the above items. v D i/~-~~ <br />Signed: ~g ~ ~ ~,t-C~-~~"CSi~ned. .,c..-ate i ~ t`-y/ lCor+' .~./~ , <br />~Coulsoo, Coutson Excavva~ting Oil & Gas Mineral <br />Date:~~ ° / ~ Date: l C rr' 3 I ~ <br />Address: ~ W ~~ ~ ~~1'~ <br />Tae f~im`,~gai/n~g imtMmmmt was aclmowledg btfore me ~J~dsy of , IM`1h'~, <br />)F~ <br />~TLe fotegoiog insttnment was aclmowledged before me this <br />l~J,vk L_ (~,\4itvt. ~ ~/~' Zarlotr7h's4 ~ of~y <br />My Commission expires: <br />My Commission Expires: <br />Expires <br />,_, M~lb . by <br />7Y!~• ~ <br />~ n Erp4as 0721/pD02 <br />