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DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />/lpplication Worksheet/Checklist <br />New App: X Amendment App: Conversion App: <br />Operator: Willits company, xnc. / Mine ID: M-2004-oil / <br />Mine Name: Eattenberg Pit '~ Date: 03/05/2ooa / <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> X X X X X X <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED Fixed <br /> 03/05/04 <br /> X X X X X X <br />ITEMS 13 14 Description Responsibilities Signature <br />COMPLETED of Amendment Of a <br /> permittee <br /> X X X X <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL <br />X <br />EXHIBIT B - 6.4.2 - INDEX MAP: X <br />