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Are there supporting photos, maps, or documents you wish to upload? * <br />• Yes No <br />Upload Supporting Documents <br />Maximum of 5 files can be uploaded and each file size must be 10mb and under. PDF, JPG, and PNG formats only. <br />IMG_1261.png <br />4.23MB <br />IMG_9576.png <br />8.22MB <br />IMG_9685.png <br />8.23MB <br />Screenshot 2024-03-29 at 9.53.45 AM.png <br />2.82MB <br />Screenshot 2024-03-29 at 9.57.48 AM.png <br />3.53MB <br />By submitting this form electronically you agree to receive any/all follow up correspondence from the Division of <br />Reclamation, Mining, and Safety at the email address you have provided. <br />