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• ~ iil i~iiil~iiii~i ~~i •~ <br />MINED LHnu n~~,~.-_.. __ , <br />Application Worksheet/Checklist <br />limited Impact 110(21 Operator ~~- <br />Mine Name <br />Fi l e No. (~ ~ - / O ~-/ Submittal Date 1 <br />Application form <br />ITEMS 1 2 3 4 5 6 <br />COMPLETED <br />~ ~ <br /> <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> <br /> <br />MAPS .and.EXHIBITS____ _.._._.___.._..____..__......ADEpUACY_COMMENTS .. _. <br />EXHIBIT A - Legal Description'b-Location MaD <br />EXHIBIT B - Site Description <br />a. Vegetation & Soils <br />b. Wildlife ,~ <br />c. Critical Structures within 200 feet and affsite damage -~ <br />EXHIBIT C - Mining Plan <br />EXHIBIT D - Reclamation P1 an <br />a. P1 an <br />