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DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation ~ ~ - 7j / <br />Application Worksheet/Checklistr`~ <br />New App: Amendment App: / Conversion App: <br />Operator: Lafarge west, Inc. ~/ Mine ID: M-i9~a-oo4 / <br />Mine Name: specification Aggregates Quarry ~ Rec Date: 06/04/2003 ~ <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 /> / / / / Received ~/ <br /> 06/12/2003 <br />ITEMS 13 14 Description Responsibilities Signature <br />COMPLETED of Of a <br /> Amendment permittee <br /> / / / / / <br />MAPS and EXHIBITS (Rule 6.2) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: / <br />EXHIBIT B - 6.4.2 - INDEX MAP: / <br />