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iii iiiiiiiiniu iii • • <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />,J/ Application Worksheet/Checklist <br />New App: n Amendment App: Conversion App: <br />Operator: ~~~C~Q ~ Vii ~ ~TnSFYGIP ~ dY~ Mine ID:~ ZbO ~ d S/y <br />Mine Name: ~( i dG,l~a°1~ Submittal Date: °j/S/~~ <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 CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1/2/3~ <br /> 4~~/~/ <br /> / <br />7 /8/ ~/ <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY CONIMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP ~/ / <br />