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Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of the <br />following terms and conditions: <br />I . All necessary approvals from local government have been applied for (Rule 1.62(1) and (2)), <br />This entire mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof in any <br />calendar year (defined in Rule 1.1(24)); <br />3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man -made <br />structure(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between <br />the applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated <br />for by the applicant /operator (Section 834- 32- 115(4)(d), C.R.S. 1984, as amended), then mining may within 200 feet. <br />Proof of an agreement must be submitted to the Office pnor to the decision date.) <br />4. No mining operation will be located on lands where such operations are prohibited by law (Section 34- 32- 115(4)(f), <br />C.R.S. 1984, as amended). <br />5. As the applicant/operator, I do not have any mining /prospecting operations in this state of Colorado currently in violation <br />of the provisions of the Mined Land Reclamation Act (Section 34 -32 -120, C.R.S. 1984, as amended) as determined <br />through a Board finding. *(See below.) <br />6. 1 understand that statements in the application are being made under penalty of perjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18 -8 -503, C.R.S. 1984, as amended. <br />This form has been approved by the Mined Land Reclamation Board pursuant to Section 34 -32 -112, C.R.S., of the Mined Land <br />Reclamation Act. Any alteration or modification of this form shall result in voiding any permit issued on the altered or modified form <br />and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to Section 34 -32 -123, <br />C R.S. <br />Signed and dated this e9.4 AL day of `�'�(' , <br />Cotter Corporation (N.S.L.) <br />Title:LS%Ocr ,� <br />State of LALt Fo t2 N YF'1 <br />A )ss. <br />County of SAI �4G° <br />CHRIS J. LANGER <br />COMM. 11834150 z <br />cc " sFi" Notary.Publtc California o <br />San Diego County <br />Comm. Ex .'res Jan. 30, 2013 <br />by r.6\ as <br />If Corporation Attest (Seal) <br />BY 6Aauutoil Ltwic,51t.J <br />Corporate Secretary or Equivalent <br />Town/City /County Clerk <br />The foregoing instrument was acknowledged before me this 24.11k day of Se , 2o 12 <br />pass eiN j of C - 2 OiLA-TrA)l (ft J. LT) <br />NOTARY PUBL <br />My Commission expires: _3 / 3 <br />SIGNATURES MUST BE IN BLUE INK <br />* An exception is that the Mined Land Reclamation Board ('Board ") issued Findings or Fact, Conclusions of Law, and Oidei, in the matte' of Cotter <br />Corporation's Possible Violations, Cease and Desist Order, Corrective Actions, and Civil Penalties, File No M -1977 -300, Notice of Violation No MV- <br />2 _(110 -01 S, dated August I I, 2010, as amended September 2012, 'elating to the Schwartzwalder Mine This exception, however, is being resohcxi thiough <br />an Agreement between Cottei Corporation (N S L ) and the Colorado Division of Reclamation, Mining and Safety entered into on September 12, 2(112 <br />(" Agreement ") for addressing conditions at the Schwartzwalder Mine and through Application Amendment 4 to Mine Permit M -1977 -300 The l3oa'd has <br />appros ed the foregoing Agreement. In that Agreement, Cotter made no admissions <br />