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• ISION OF MINERALS AND GE• GY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />New App: / <br />Amendment App: <br />Operator: Camilletti and sons, Inc. <br />Mine Name: Camilletti Milner Pit M2 <br />Mine ID: M-zoos-oz3 <br />Rec Date: c3/2i/zool <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): Pages 4, 5, and 6 are missing. Signature on <br />Page 7 is improperly aotari zed. Fee received and Application completed 03/27/2001 <br />ITEMS <br />COMPLETED 1 2 3 4 $ 6 <br /> / / / / / / <br />ITEMS <br />COMPLETED ~ $ 9 10 11 12 <br /> / / / / / / <br />ITEMS 13 14 Description Responsibilities Signature <br />COMPLETED of Of a <br /> Amendment Permittee <br /> / / Miaeing Application is <br /> Completed improperly <br /> 03/27/01 notarized <br /> Completed <br /> 03/27/01 <br />MAPS and EXHIBITS (Rule 6.2) <br /> <br />Conversion App: <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.9.1 - LEGAL DESCRIPTION: / <br />EXHIBIT B - 6.4.2 - INDEX MAP: / <br />