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REV15276
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REV15276
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Entry Properties
Last modified
8/25/2016 1:26:34 AM
Creation date
11/21/2007 11:03:08 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984041
IBM Index Class Name
Revision
Doc Date
10/18/2000
Doc Name
CONSTRUCTION MATERIALS APPLICATION WORKSHEET CHECKLIST
Type & Sequence
AM3
Media Type
D
Archive
No
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<br />• ~II ~I~II~II~II~~I~~ <br />sss <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Recular (112) Mining Operation <br />Application Worksheet/Checklist <br />New App : nn,A,~~ ,,,, //~~ Amendm/elnt App : /~ <br />Operator: LLI~x ~.AG~e l7U(1=Jim inn <br />Mine Name: ~f 11'1 ~(~~ <br />Conversion App: <br />Mine ID: 1~ ~ yd~l <br />Submittal Date: ~~/ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> <br /> v / / ~ ~/ ,/ <br /> <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> ///i/cam <br /> v ~ ~ ~ <br /> / <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> ~ P/~ ~ // I/~D <br /> / q/y/ g/ <br /> 9~ B~ 3' <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: / <br />
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