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• iii iiiiiiiiiiiii iii • <br />DIVISION OF MINERALS AND GEOLOGY <br />112 Regular Construction Materials Operation <br />Application Worksheet/Checklist <br />New App: Amendment App: / Conversion App: <br />Operator: R.E. Monks Construction COmDanV Mine ID: M-87-131 <br />Mine Name: Airport Pit #3 <br />Submittal Date: 11 /4/96 <br />APPLICATION FORM (Rule 1.41: <br />APPLICATION ITEMS COMPLETED <br />1 <br />-------------- 2 <br />-------------- 3 <br />-------------- 4 <br />-------------- 5 <br />-------------- 6 <br />-------------- 7 <br />-------------- <br />/ / / / / / / <br />8 <br />-------------- 9 <br />-------------- 10 <br />-------------- 11 <br />-------------- 12 <br />-------------- 13 <br />-------------- 14 <br />-------------- <br />/ / / / / / J <br />15 Initials Signature Notices COMMENTS: <br />/ / / / <br />EXHIBITS <br />A <br />-------------- B <br />-------------- C <br />-------------- D <br />-------------- E <br />-------------- F <br />-------------- G <br />-------------- <br />/ / / / / / / <br />H <br />-------------- I <br />-------------- J <br />-------------- K <br />-------------- L <br />-------------- M <br />-------------- N <br />-------------- <br />/ / / / / / / <br />0 P 0 R S Geotech Sign Affid. <br />J / / / / / <br />COMPLETENESS COMMENTS: <br />