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,.1 • <br />• <br />M <br />II IIIIIIIIIIIUI III (ON <br />' <br />Revi 999 s <br />112 Regular Application Operator: ~~~ CUIt' 1 p~,~u,~ <br />~ <br /> Mine Name: <br />Mine ID.: •• <br />O~Jcl ~i -~ ~~h~~ <br />~(v Submittal Date: ~S • <br />~ <br />10 <br />Application Form <br />ITEMS 1 2 3 4 5 6 7 <br />COMPLETED <br />/ / / / / / <br /> <br />ITEMS 8 9 10 11 12 13 14 <br />COMPLETED Uol-5~~+~ <br /> .„ <br />~/ / ,/ ~ / (~ a ~ <br /> <br />~, I <br />Maps and Exhibits ADEQUACY COMMENTS <br />EXHIBIT A - Legal Description <br />EXHIBIT B - Index Map <br />EXHIBIT C - Pre-Mining & Mining Plan Map(s) of Affected Lands // <br />EXHIBIT D -Mining Plan <br />EXHIBIT E - Reclamation Plan <br />EXHIBIT F - Reclamation Plan Map <br />