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.} . <br />New App: <br />Operator: <br />Mine Name: <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />Amendment App: Conver/sion App: <br />r%2u-~ ~'°'~'^-~ ~/ /Mine ID: ~-7o0~-dS'~- <br />_~yher Trus~l3 pt} /~ec Date: g-Z 4 -~~ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> ~~.s$ Z3Ny <br /> <br />~ ptr-~euJ <br />~ ,/ <br /> ~ ~ <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> / / / <br />ITEMS 13 14 Description Responsibilities Signature <br />COMPLETED cf of a <br /> Amendment permittee <br /> f <br />NIA <br />MAPS and EXHIBITS (Rule 6.2) ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: <br /> <br />EXHIBIT B - 6.4.2 - INDEX MAP: <br />v <br />