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<br />MINED LAND RECLAMATION <br />implication Worksheet/Checklist <br />Limited :Impact (110) Operator T, L , ~ xC~ ~~~ <br />Special 10-Ddy (111) Mine Name i e o. - -p z <br />Complete ( e ate ~~ n 1 r o <br />Application Fonn: <br />I TEMs 1 2 3 4 5 6 7 <br />Complete: <br /> / / V ~/ / ~ ~ <br />ITEMS <br />Complete: 8 9 10 11 12 13 <br /> ~ / / V ~ <br />COMPLETENESS/ADEQUACY COMMENTS <br />Maps and Exhibits: <br />EXHIBIT A - Legal Description <br />EXHIBIT B - Site Description <br />a. Vegetation 8 Soils / SC S <br />b. Wildlife <br />D p,nl <br />c. Critical Structures <br />within 200 feet / n.ov-¢, <br />off-site damage <br />EXHIBIT C -Mining Plan / 6 ~~ ~~ -r-S I wU ~V ~ ~ ~" ~,~C~-- <br />~~vsh~~ <br />~~~ <br />EXHIBIT D - Reclamation Plan l ~/ <br />a. Plan / ~iP~ SG 5 ~1 l.w~ / W/dal, ~ (~ <br />cpnGvrl~Wy 5DO ~d~ ~ ~'DO Pl- <br />¢0%0 ~e rd-~ I lze ~ a- n~ low 2 ~ ~ fa ~ <br />