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<br />DIVISION OF MINERALS AND G5OLCG'I <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />~II II~II~II~~I~~ ~I~ <br />sss <br />New App: ~ Amendment App: Conversion App: <br />Operator: QYj E~}(,yiTyi~~ I~1P . Mine ID: 2001> d77 <br />Mine Name: ~I! ~ ('~(T°~~ P! ~{' Submittal Date: ~~Z <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / / / ~ III / <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / / Y / '/ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1/ 2/ 3~ <br /> ~'~~ <br /> 4r5/6/ <br /> 7/8/9 / <br />MAPS and EXHIBITS (Rule 6.2) <br />~or~OraK of~rC~' <br />ADEQUACY COMMENTS <br />EXHIBIT A - 66.4.1 - LEGAL DESCRIPTION: <br />