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• • IIIIIIIIIIIIIIIIIiI <br />~ DIVISION OF MIN°RALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application worksheet/Checklist <br />New App: r~ Ammendment App: Conversion App: ,,o <br />Operator: ~4~~ ry/~//II ff,~'1~'~}'~~ ~Y"1.~ Mine ID: mZd(7~ yn8 <br />Mine Name: QY1-~{~~ l~IffAa/P~~ Submittal Date: ~/~2 OU <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> <br /> <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> ~ ~ <br /> ~ / / / <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> ~~~ <br /> <br /> 7/8J ~~~ <br />no¢G~-/ <br />[~i p s~cJPtwS <br />MAPS and EXHIBITS (Rule 6.2) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION:'i/ <br />