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Ililllliillliilllll <br /> MINED LAND RECLAMATION <br /> Application Norksheet/Checklist <br /> Regular 112 Application Operator ao-ueX coY <br /> Mine Name -T E /.7D: ' Ki& File No. - - <br /> Complete ( i a Darr <br /> ov��l��sr �ti <br /> Application Form: <br /> ITEMS 1 2 3 4 5 6 7 <br /> Complete: <br /> F F' <br /> ITEMs 8 9 10 11 12 13 <br /> Complete: <br /> COMPLETENESS/ADEQUACY COMMENTS <br /> Maps and Exhibits: <br /> EXHIBIT A - Legal Description <br /> EXHIBIT B - Index Map <br /> EXHIBIT C - Pre-Mining & Mining Plan Map(s ) <br /> of Affected Lands <br /> EXHIBIT D - Mining Plan <br /> EXHIBIT E - Reclamation Plan <br />