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~ MINED LAND RECLAMATION <br />Application Worksheet/Checklist <br />Limited Impact 110(2) Operator: <br />Mine Name: <br />Mine ID,: g,~-O(oOSubmittal Date: 8 ~ <br />Application Form <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED ~Qp~le~8 / <br />f ~ ~ ~ ~ / <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br />MAPS and EXHIBITS A EQUACY COMMENTS <br />EXHIBIT A - Legal Description & Location Map <br />EXHIBIT B - Site Description / <br />a. Vegetation & Soils / <br />b. Critical structures within 200 feet and offsite damage• <br />c. Water Resources and Wildlife Statement (if provided) <br />EXHIBIT C - Mining Plan <br />EXHIBIT D - Recl ration Plan <br />a. Plan ~ <br />P~ 1 . <br /> <br />