Laserfiche WebLink
.; <br />• • III IIIIIIIIIIIIIIII <br />999 <br />DIVISIOPi Ot MINERr?LS A.~TD G=OLOG'C <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 M'ning Oc_ra`icn <br />P.pplication worksheet/Chec'.clist <br />New App: <br />Amendment App: <br />Conversion App: <br />Operator: tlrlht,w In(~li iii-r~~S lne . Mine ID: (Yl ZUD(~ OJT `/ <br />Mine Name:(Y`~~nnh LImP F`Ji~MYU Submittal Date: ~~/3~ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / V / '~ <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / v / / ~ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1 2 3 neec~cn~Ps~al <br /> 4 5 6 <br /> 7 8 9 <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP /~ <br />