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i <br />DIVISION OF MINERALS AND GEOLOGY <br />Limited Impact 110(2) <br />Application Workshee/t/Checklist <br />New App; Amendment App: ~/ Conversion App: <br />Operator: DGYYIC. Mine ID: R~D'"n-7I2_______ <br />Mine Name: ~~r~C4zS M i yid Submittal Date: ~~~30~Q+-r <br />APPLICATION FORM: <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br />MAPS and EXHIBITS ADEQUACY COMMENTS <br />EXHIBIT A - LEGAL DESCRIPTION & LOCATION MAP <br />EXHIBIT B - SITE DESCRIPTION <br />a. Vegetation & Soils -~O ~~ <br />b. Critical Structures within 200 feet and offsite damage - <br />c. Water Resources and Wildlife Statement (if provided) ~'~' <br />