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r <br />Regular 112 Application <br />C4A+p,~ith2!f Qtv,3a A2aAl,h.: J/!9/B9 <br />Con•pl: ft ~ J/J7/~~ <br />Gras,. dr ~l,,.i: OS/17/~9 <br />Application Form: <br />III IIIIIIIIIIIIIIII <br />MINED LANG RECLAMATION <br />Application Worksheet/Checklist <br />Operator / <br />Mine Name S. ,. ~a <br />S~bm~ <br />e No. <br />ITE7As 1 2 3 4 5 6 7 <br />Complete: <br />~ ~ <br /> :. f <br /> 0~ o~ ~~ r7~ dF D~ 6~ <br />I TlTis 8 9 10 11 12 13 <br />Complete: SSE`, ~ <br /> of i <br /> <br />COMPLETENESS/ADEQUACY COMMENTS <br />Maps and Exhibits: {~"'""- - p9 ~lnz c~'l ~~z is y lz,a/ <br />drsc.-~fr~{%z,, .. <br />EXHIBIT A -Legal Description d~ <br />EXHIBIT B -Index Map ~,f <br />EXHIBIT C -Pre-Mining & t4ining Plan Map(s) laa~ ma~Yvu/s~•r~j,~~t~,.`y'.,:•, <br />of Affected Lands Ok <br />EXHIBIT D -Mining P1 an <br />o~< <br />EXHIBIT E -Reclamation Plan <br />/ <br />