2002-10-08_REVISION - M1992066

• Permit No: M1992066
• IBM Index Class Name: Revision
• Doc Date: 10/8/2002
• Doc Name: Permit File Table of Contents
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGY
CONSTRUCTION MATERIALS
Regular (112) Mining Operation
Application Worksheet/Checklist
New App: Amendment App: ~ Conversion App:

Operator: ~(J,C, ~1P.15
~~~Y~~P ~"IIN1 ~ Yt(~'
C Mine ID: ~Zf~7
~1
Mine Name: ~ -y
~
. t/IUPi+( Pt~ Submittal Date: o
1p a 2'
~
P.P_'ICP_TION FORM (Rule 1.6.2 and 1.6.3):
I^tEMS 1 2 3 4 5 6'
COMPLETED
/
~ v v
ITEMS-
COMPLETED 7 8 9 10 11 12
i~ `~ /
ITEMS CONV/AMEND PERMITEE SIG
COMPLETED DESCP RESP
1/2/3/

~~~
7,~ 8/9'~
MAPS and EXHIBITS (Rule 6.2)
ADEQUACY COMMENTS
EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: /