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DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application WorksheetJChecklist <br />New App: <br />Operator: _ <br />Mine Name: <br />Amendment App: <br />Conversion App: <br />Mine ID: (YIZc~i2 ~~(,~ <br />Submittal Date: i6~2S/~. <br />APPLICATION FORM {Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 S 6 <br />COMPLETED <br /> v / ~ ~ / ,~ <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> ~ v ~ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1/2r3~ <br /> <br />4/S/6~ / <br />,/ <br /> 7/8~ <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP // <br />