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<br />III I IIIIIII IIII I III <br /> 999 <br />New App: / <br />• • <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />Amendment App: <br />Operator: Western Mobile Northern, Inc. <br />Mlne Name: North Taft Hill Expansion Site <br />Mine ID: M-2001-osl <br />Rec Date: os/la/zoos <br />Conversion App: <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / / / / / / <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED General <br /> location info <br /> incomplete <br /> / / .~ / / <br />ITEMS 13 19 Description Responsibilities Signature <br />COMPLETED of Of a <br /> Amendment permittee <br /> / / / / <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: / <br />EXHIBIT B - 6.9.2 - INDEX MAP: / <br />