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iii iiiiiiiuiiu iii : • <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: ~ Amendment App: Conversion Ap~p7: <br />Operator: ~~err a m;nc~~5 ~ ~ Mine ID: ~ ~ 1 D <br />Mine Name: ~~(~~-~~ ~AG./~T Submittal Date: ~~a0~5~1 <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> / / ~ / ,~ <br /> r <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> / ~ ~ ~ `~ ~ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1./2 /3 ~/ <br /> 4 ~/ 6/ / <br /> 7 v8 /9'~ <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP / / <br />