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~ III IIIIIIIIIIIII III ~ <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: Conversion App: <br />Operator: J~GIGI ~ •SL.'~tCX-1-p,xd Frr/1 ~pW~y Mine ID: ~lq UIU~~ <br />Mine Name: Trn11Ah(.1~°Le Pi k Submittal Date: <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> '~ / `~ / ,~ <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> ~ / i / '~ / <br />ITEMS CONY/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1~ 2' 3i <br /> 4~ 5/ 6~ <br /> 7/ ®/ ~' <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP ~,i <br />