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1'I->~S'~- oisr/ <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation ~~ <br />Application Worksheet/Checklist <br />New App: Amenlldment App: / Conversion App: <br />Operator: ~'o~htiPfa/ ,'`7u/<~r~zlst ~~/, ./ Mine ID: .1-7-/S'b'G-oiS~~ <br />Mine Name: 1~~leGfo ~4st l~C~l ~~ Rec Date: O /~ ~ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> V ~ / ~ V ~ <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / ~ <br />ZTEMS 13 14 Description Responsibilities Signature <br />COMPLETED of of a <br /> Amendment permittee <br /> / / ~/ <br /> V <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXBIBIT A - 6.4.1 - LEGAL DESCRIPTION: <br />`~ <br />EXHIBIT B - 6.4.2 - INDEX MAP: <br /> <br />