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E <br />Limited Impact 110(2) <br />Application Form <br />ITEMS <br />COMPLETED <br />6 <br /> <br />MAPS and EXHIBITS ADEQUACY COMMENTS <br />EXHIBIT A - Legal Description & Location Map <br />EXHIBIT B - Site Description / <br />~~. Vegetation & Soils (/ <br />b. Critical structures within 200 feet and offsite damage <br />c. Water Resources and Wildlife Statement (if provided) <br />EXHIBIT C - Mining Plan ~ji-fF wi(~ y,yf 1jrt we <br />s ~ III IIIIIIIIIIIIIIII <br />MINED LAND RECLAMATION 999 <br />Application Worksheet/Che/c~kl~i~st Q <br />Operator: ~~ C_71't~~-~~//l11_rnduc~s <br />Mine Name: Y, <br />Mine ID.: ~-~~ Submittal Date: ~ /l'a <br /> <br />EXHIBIT D - Recla tion Plan <br />a. Plan <br />COMPLETED ~ T ~ B 3 9 ~ 10 ~ 11 ~~ 1~ / ~ <br />