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• i <br />DIVISION OF MINERALS AND GEOLOGY <br />112 Regular Operation <br />Application Worksheet/Checklist / <br />New App: Amendment App: Conversion''IIApp: / <br />Operator: ~y / Mine ID: _~n -a~'-t~ '/ <br />Mine Name: _ i~-~1.~ t I ~j~ Submittal Date: -7I (I Q`Y <br />APPLICATION FORM (Rule 1.4): `~~ (~~~~ w~ ~(a:-l7"ry <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br />ITEMS 13 14 CONY/ADM PERMTEB SIG <br />COMPLETED DESCP RESP <br /> 1 2 3 <br /> 4 5 6 <br /> 7 S 9 <br />MAPS and EXHIBITS (Rule 6.2 and 6.4) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION +/ <br />EXHIBIT B - 6.4.2 - INDEX MAP <br />