Laserfiche WebLink
<br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />/ Application Worksheet/Checklist <br />New App: ,q~`~ Amendment App: Conversion App: <br />Operator: H"~i r ~~i Ps ~ _ / Mine ID: /~ - 2~a -D '~ <br />Mine Name: ~a~e,~ Qi'f / Rec Date: o <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 s 6 <br /> / / / / / / <br /> <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> <br />/ <br />~/ <br />/ / <br />/ <br />ITEMS 13 14 Conv/Amend Responsibilities Signature <br />COMPLETED Description Of a <br /> permit <br />tee <br /> / ~ ~ / <br />/ / <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION 6 LOCATION MAP: <br /> <br /> <br />