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DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />New App: / Amendment App: Conversion App: <br />Operator: Western Equivment and Truck, Inc. Mine ID: M-2002-052 / <br />Mine Name: Two Rivers Rock / Rec Date: April 12, 2002 <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / / / / / / <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / / / / / <br />ITEMS 13 14 Description Responsibilities Signatur <br />COMPLETED o£ o£ a e <br /> Amendment permittee <br /> / / _ / / <br />MAPS and EXHIBITS (Rule 6.2) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: / <br />EXHIBIT 8 - 6.4.2 - INDEX MAP: / <br />