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<br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />New App: ~ Amen/dment App: Conversion App: M <br />Operator: ~~t~~(~ ~~ (/./lf~llGi~ ~ ~171r1 Mine ID: ~ I' ~~ ~0~ 7 <br />Mine Name: `n(~ ~4~1 ~.~{~ N~ ~n ~ Submittal Date: )b D <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6' <br /> v ~ ~ ~ V V <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1 2 3 <br /> 4 5 6 <br /> 7 8 9 <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - .4.1 - LEGAL DESCRIPTION:/ <br />