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<br />• • iii iiiiiiiiiiiiiiii <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: ~ Amendment App: _ <br />Operator: t~ ~n~ <br />Mine Name: J <br />Conversi(ony~App: <br />Mine ID: / ~ /~~~~~~43 <br />Submittal Date: (r 2Z n <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> ~(~~ ~~,~ ~((-~ 'l,~ yl,~ 'li3 <br /> <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> ,~r~ ~1,~ ~~r3 ~Ir3 ~1i3 ~~3 <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1/2/3/ <br /> <br /> <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP /~ <br />