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(p <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: N Amendment App: Conversion App: <br />Operator: ~ '~Insi ~ Sin ~~,iclh_"~ ~ ~4f~N~mcUir~ 1 n e- Mine ID: <br />Mine Name: ~, U G4~l~YQS Submittal Date: <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / / / ~ i/ ~/ <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / /, <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1~ ~ <br />/ <br /> ,/ <br />4'~5~ P <br /> 7/8i/~9~ <br />/ICfGl Cof~ ~G <br />~~ ~~~ <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6 .l - LEGAL DESCRIPTION & LOCATION MAP /,/ <br />