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:~ i <br />~ III IIIIIIIIIIIIIIII <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: I .nc~1_'1 ~~Q l,U(.U~1~-y /1~ Mine ID: ~ ~ ~ ~~ <br />Mine Name: _ ~{.fl ACILG~ l) ~=11~Q~~'~ PI ~ Submittal Date: <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 <br /> / <br /> ~ ~ v <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1 /2 /~ <br /> 4/ 5~ Ff <br /> 7/ 8~ 4' <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A -6 3.1 - LEGAL DESCRIPTION & LOCATION MAP <br />