2012-10-01_REVISION - M1979094HR (15)

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Certification: As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements o1 the following terms and condItrons. I This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made structure(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated for by the applicant/operator (Section 834- 32- 115(4)(d), C.R.S. 1984, as amended), then mining may within 20(1 feet Proof of an agreement must be submitted to the Office prior to the decision date.) 2 No mining operation will be located on lands where such operations are prohibited by law (Section 34-32-115(4)0), C.R.S. 1984, as amended). 3. As the applicant/operator, 1 do not have any mining /prospecting operations in this state of Colorado currently in violation of the provisions of the Mined Land Reclamation Act (Section 34 -32 -120, C.R.S. 1984, as amended) as determined through a Board finding. *(See below.) 4. I understand that statements in the application are being made under penalty of perjury and that false statements made herein are punishable as a Class 1 misdemeanor pursuant to Section 18 -8 -503, C.R.S. 1984, as amended. This form has been approved by the Mined Land Reclamation Board pursuant to Section 34 -32 -112, C.R.S., of the Mined Land Reclamation Act. Any alteration or modification of this form shall result in voiding any permit issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to Section 34 -32 -123, C.R.S. Signed and dated thispr\'- day of Cotter Corporation (N.S.L.) If Corporation Attest (Corporate/ County Seal) Signature: Ap Title: /+ State of C i, FOi2N ) CHRIS J. LANGER COMM. *1834150 z Notary Public California o San Diego County Comm. Exr'res Jan. 30, 2013 By (am . tsoY -> Corporate Secretary or Equivalent n Town /City /County Clerk A v5 /S 444- a )ss. County of SAN y ) The foregoing instrument was acknowledged before me this ZHih day of SEP1 /, 4 / 12- by ' µtr►s 4/ lZ ika.P>i't r Cora coN eotc t N (t Notary Public My Commission expires ! /3Q� SIGNATURES MUST BE IN BLUE INK * An exception is that the Mined I and Reclamation Hoard ("Bow d") issued Findings of Fact, Conclusions of Lars, and l hdcr, m the matter of ('uuu ( 'or poiation's Possible Violations, Cease and Desist hides, Cot recure Actions, and Civil Penalties, File No M -I 977 -300, Notice of N udation No NI V- 2010-01X, dated August I I, 20)10, as amended September 2012, relating to the Schwartzwalder Mine This exception, however, is being iesolsed thurugh an . \gieemcnt heirscen Cotter Corporation (N S L. ) and the Colorado Division of Reclamation, Mining and Safety entered into on Sepicmbci 1 2, 211 t 2 ( "Agreement ") for addressing conditions at the Schw. artzwalder Mine and through Application Amendment 4 to Mine Permit M -1977 -3011 I tic Huard has approved the foregoing Agreement In that Agreement, Cotter made no admissions