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Certification: <br />As an authorized representative oft he applicant, I hereby certify that the operation described has met the minimum requirements o f t he <br />following terms and conditions: <br />I. 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/opemtor 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 prior to the decision date.) <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section 34- 32- 115(4)(1), <br />C. R.S. 1984, as amended). <br />3. 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 />4. 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 I 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 ivined Land <br />Reclamation Act. Any alteration or modification of this form shall result its 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 thisj G.A� day of ,1 7s--> 13 <br />Cotter Corporation tion N.S.L. If Corporation Attest (Corporate/ County Seal) <br />Ap �ip r IN <br />Signature: <br />By. _ <br />ptl:Stp�.J Corporate Secretary or Equivalent <br />Title: Town /City /County Clerk <br />State of frt'`'CL ) <br />JJ�� )ss. <br />County of �7�Y� l/��c' ) <br />The foregoing instrument was acknowledged before me this day of �'N ri / d- 3 <br />�&o� V, Nu cairns X n j <br />by as /O &J-I Art,, f eo H-r t:o /,p(fi <br />sZf7Cr Lt. ,� ..t._�- <br />Notary ublic <br />y QOMY JENNIFER R. LEAR <br />N Comm. t 1990755 N My Commission expires: /J <br />NOTARY PUBLIC. CALIFORNIA ,r <br />SAN DIEGO COUNTY <br />Comm, Up. Sip. 10, 2016 <br />SIGNATURES MUST BE IN BLUE INK <br />*An exception is that the Mined Land Reclamation Board ( "Board ") issued Findings of Fact, Conclusions of Law, and Order, in the matter 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 />010 -018, dated August 11, 2010, as amended September 2012, relating to the Schwartzwalder Mine. This exception, however, is being resolved through <br />an Agreement between Cotter Corporation (N.S.L.) and the Colorado Division of Reclamation, Mining and Safety entered into on September 12, 2012 <br />( "Agreement ") for addressing conditions at the Schwanzwaldcr Mine and through Application Amendment 4 to Mine Permit M -1977 -300. The Board has <br />approved the foregoing Agreement. In that Agreement, Colter made no admissions. <br />