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~ III IIIIIIIIIIIII III ~ <br />MINED LAND RECLAMATION <br />implication Worksheet/Checklist <br />Limited Impact (ii0) Operator -Pr~c~evnor _ ~.,,-,r-~n.tc~~ow T-~z. <br />Special 10-Day (111) Mine Name ~o~ ock r ~~ a No. -q/_o37 <br />eet~ (FTed Date y/3/4/ <br />Application Form: <br />ITEMS 1 2 3 4 5 6 7 <br />Complete: <br />ITEMS <br />Complete: 8 9 10 11 12 13 <br /> .~ :/ <br />COMPLETENESS/ADEQUACY COMMENTS <br />Maps and Exhibits: <br />EXHIBIT A - Legal Description <br />EXHIBIT B - Site Description <br />a. Yegetation & Soils <br />b. Wildlife <br />c. Critical Structures <br />within 200 feet <br />off-site damage <br />EXHIBIT C -Mining Plan <br />EXHIBIT D - Reclamation Plan <br />a. Plan <br />