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New App: _ <br />Operator: <br />Maine Name: <br />V <br />~CiD <br />AI?PLICATION FORM (Rule 1.6.2 and 1.6.3): <br />Conversion App: <br />Mine ID: ~ - `~. <br />Submittal Date: ~ Q <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> <br />ITEMS 7 8 9 10 11 ~ 12 <br />COMPLETED <br />ITEMS CONV PERMTEE SIG <br />COMPLETED DESCP RESP <br /> 1 2 3 <br /> 4 5 6 <br /> 7 8 9 <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP // <br />~II II~~I~~I~II~~ II~ <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />Limited Impact 110 Mining Operation <br />Application WorksheetJChecklist <br />EXHIBIT B - 6.3.2 - SITE DESCRIPTION <br />Ja. Vegetation & Soils - 6.3.2 (a) <br />