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S001 mil-1,1A( <br /> JR./mac <br /> 7 Application Checklist <br /> E <br /> Application Form: Complete the form located on page 5. <br /> 57s-14, <br /> Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> an Safety. <br /> Performance Warranty: Complete the form located on page 11. <br /> 1 , 116/_0 72-0 <br /> Finan --) <br /> ti(r' 00 cial -Warranty: Submit the appropriate Financial Warranties or conditional <br /> q' replacement Financial Warranties using the forms posted on the Division's website <br /> (available online at http://mining.state.co.us/Mineral%20Forms.htm). <br /> ACI Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br /> lir rights, obtain the documentation described above, and submit to the Division. <br /> Yff <br /> Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> 0 ' I6v to do so. <br /> kvos <br /> 0 <br /> iv, <br /> M-1979-131 S00/ <br /> Complied! 2 Violations! <br /> 10 Minor Infractions JPL/mac <br /> - 4 - <br />