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~ ~ iii Miiiiiiiiim iii <br /> DIVISION OF MINERALS AND GEOLOGY <br /> 112 Regular Operation <br /> Application Worksheet/Checklist <br /> i <br />• <br />New App: Amendment App: Convers <br />on Ap <br />p <br />V <br />Operator: ~C' ~ + ~ Mine ID: ~- p- <br />,/ <br />~7 . ~S <br />c <br />Mine Name: ~ ~ Submittal Date: ~ <br />~ <br />APPLICATION FORM (Rule 1.4) : L~~~ L~ ~ , ~~~~~- -~c~~~it~a.«r ~ <br />ITEMS <br />COMPLETED 1 2 3 4 5 <br /> / <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> V S/ ~~ <br />ITEMS 13 14 CONY/ADM PERMTEE SIG <br />COMPLETED DESCP RESP <br /> <br />,/ ~. 1 2 ~~ <br />~i <br />Q j. <br /> L ~ <br />S <br /> ~~ <br />MAPS and EXHIBITS (Rule 6.2 and 6.4) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION 6~L <br />EXHIBIT B - 6.4.2 - INDEX MAP C7 v <br />