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~,. <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: V Amendment App: Conversion App: <br />Operator: ,(~ ~~ ..~~r-jrier'.S I~i~ Mine ID: M ~Z~~D ~Z <br />Mine Name: L11/~1,u1 ~a ~ o ~ h~~n ~ rA ~rE ( Pi--~ Submittal Date:-~~` <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> L~ ~ L~ 1/~ ' 1/ <br /> ~ 2 <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> - ~ ~ --- <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP ESP <br />R <br /> <br />/~ `1 I' 1 - <br />/ <br />i3 ~~ <br />~ 1~JI_~/~ ~ n <br />l~C', G1V <br />~y~.-~-- <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP <br />