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New or South Hay Camp Pit McClellan, McClellan & Nelson <br />An example Structure Agreement which meets the requirements of the Statutes is shown below. <br />�: �:* w�r�«** �«** ��** w** s: �* s*• ss** �r*** rr* a�* ����*** ���xs�: a� *�� * *as *s� * *s * * * * * * *s *ssss *sss <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 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) of the utility that the mining and reclamation activities, as proposed, will have <br />"no negative effect" on their utility. ( Construction Materials Rule 63.12 and Rule 6.4.19 & Hard <br />Rock/Metal Mining Rule 6 3.12 and Rule 6 4.20) <br />The Colorado Mined Land Reclamation Board ( "Board') has determined that this form, if <br />properly executed, represents an agreement that complies with Construction Materials Rule 6.3.12(a), <br />Rule 6.4.19(a), and C.R.S. § 34- 32.5- 115(4)(e) and with Hard RocklMetalMming Rule 6.3.12(a), Rule <br />64.20(a), and C.R.S. § 34- 32- 115(4)(d). This form is for the sole purpose of ensuring compliance with the <br />Rules and Regulations and shall not make the Board or Division a necessary party to arty private civil <br />lawsuit to enforce the terms of the agreement or create any 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 />1 All Fencing on and within property and permit boundaries. <br />2 All roads and trails within permit and property boundaries. <br />3 All basins/ponds/dams, and other drainage structures within permit and property boundaries. <br />4 LAST ITEM <br />5. <br />(Please list additional structures on a separate page) <br />