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<br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: __~____ Amendment App: Conversion App: <br />i <br />Operator: ~ If;~l ~ t1~mj nA C~ / Mine ID: ~ Z067~(J y~ ~ <br />Mine Name: ~ _Sf'Y~i~Py ~-~' `~ Submittal Date: ~/~ Zi ~ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> (/ V I/ / / <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> 1/ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1/ 2/ 3/ <br /> 4/5/6' J <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 />