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~ III IIIIIIIIIIIIIIII ~ <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />Limited Impact 110 Construction Materials Operation <br />Application Worksheet/Checklist <br />New App: / Amendment App: Conversion App: <br />Operator: EI Paso County DOT Mine ID: M-95-095 <br />Mine Name: Simla Highway Pit Submittal Date: 3/1/96 <br />APPLICATION FORM (Rule 1.41: <br />APPLICATION ITEMS COMPLETED <br />1 <br />-------------- 2 <br />-------------- 3 <br />-------------- 4 <br />-------------- 5 <br />-------------- 6 <br />-------------- 7 <br />-------------- <br />/ / / / / / / <br />8 <br />-------------- 9 <br />-------------- 10 <br />-------------- 11 <br />-------------- 12 <br />-------------- 13 <br />-------------- 14 <br />-------------- <br /> <br />Initials Signature Notices COMMENTS: old form, OK <br />J / / <br />EXHIBITS <br />A <br />-------------- B <br />-------------- C <br />-------------- D <br />-------------- E <br />-------------- F <br />-------------- G <br />-------------- <br />/ OK / / / / / <br />H I J L Geotech Sign Affid. <br />/ / / OK / <br />COMPLETENESS COMMENTS: <br />missing Exhibit L -Permanent Man-made Structures; spoke to Merv Casey, 6/5/96, I adivsed <br />him that I was still awaiting the response to my 3/28/86 incompleteness letter. He stated that <br />he would be forwarding a letter stating that there are no man-made structures within 200 feet <br />of the affected acreage. <br />