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• iii iiiiiiiiiiiii iii ,. <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: r Amendment App: <br />Operator: ~ +-YYlii'YIG~ ~n/~ <br />Mine Name: ~ (1 (', 1(~1 _PI'r <br />Conversion App: <br />Mine ID: (Yl ~~ 0 ~~ ~ <br />Submittal Date: X21 <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> <br />v v <br />v <br />`i <br />r <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / ~ / `~ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1 2 3 <br /> 4 5 6 <br /> 7 8 9 <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP fV <br />