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<br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />`/~ Application Worksheet/Checklist <br />New App: N Amendment App: Conversion App: !` <br />Operator: ~ ~~ ~ pn~ Mine ID: ~ ~ ~ ~K V <br />Mine Name: 1~ ~ 1-~ QUfx,(f to #Z Submittal Date: <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> / / / / '~ / <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> .i / / / / `~ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1 ~l ~'3/ <br /> 4~5~ 6/ <br /> 7~8~9 <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP // <br />