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DIVISION OF MINER.~1I,5 AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App:ccr~_ Amendment App: Conversion App: <br />Operator: I-~Tef1-C C1~F~- ]~~J(~ti'YIPl145 L-1,~ Mine ID: ~~3~0" <br />Mine Name: /'~ht~ ~i~fX afG.JZI ~% I' Submittal Date: ~ I gJv~ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br /> V '~ '~ / ~ / <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> <br /> / / / / / <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1~2~ 3' <br /> 4~ 5' 6~ „/ <br /> 'Y$i~ <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP~~ <br />