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DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation ~ m -/ ~ <br />Application Worksheet/Checklist / <br />New App: Amendment App: / Conversion App: <br />Operator: Moffat Limestone company / Mine ID: M-i Be2 -141/ <br />Mine Name: suniper Quarry ^~ Date: o3/oe/2oo5 / <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): 2ncorrect application £orm submitted, no <br />Operator name on form and Operation name is incorrect throughout the app 6 exhibits. <br />Received 03/08/2005 <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / / / / / / <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / / / / / <br />ITEMS 13 14 Description Responsibilities Signature <br />COMPLETED of Amendment of a <br /> permittee <br /> / / / / / <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: Needs to be redone and moat use the correct <br />site name / Received 03/08/2005 <br />EXHIBIT B - 6.4.2 - INDEX MAP: Needs to be redone and moat use the correct ai to name <br />/ Received 03/08/2005 <br />