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<br />DIVISION OF MINERALS AND GEOLOGY <br />112 Construction Mining Operation <br />Application Worksheet/Checklist <br />A <br />51i~ Ioz <br />New App: Amendment App: Conversion App: <br />Operator: Pa~{l[rfvn (,DII~ -~/iC• ~ Mine ID: iN-/~l8S-~(q'/ <br />c7 /' ~/- <br />Mine Name: ~5,~~ GraVp~ ~!~"" Submittal Date: <br />APPLICATION FORM (Rule 1.4): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / <br />V <br />C/ <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / <br />r / <br />L~ <br />~~ <br />ITEMS 13 14 CONV/ADM PERMTEE SIG <br />COMPLETED DESCP RESP <br /> 1 2 3 / <br /> 4 5 6 L/ <br /> 8 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 />