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• iii iiiiiiiiiiiii iii • <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: Conversion App: <br />Operator: ~1~ cfi7riT h.n~E.S ~F I1~~,~'~ C~C1f)k~ ~~~/ Mine ID:I~ Z~b ~~~ <br />Mine Name: ~1 C~Ga' +~ O~ ~ Submittal Date: ~/~0~0 <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 /> / f / ~ f / <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> L/ 2/ 3/ <br /> <br />4,/5/6/ / <br />/ <br /> 7 /g/g `~ <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP /,~ <br />