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F <br />~ iii iiiiiiiiiiiii iii • <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: X Amendment App: Conversion App: <br />Operator: Mou,r~}aufl Q/A,fb~ ~° onG'+~1L ~~, , Mine ID: M ~) B o~J~ <br />Mine Name: Q~-~A.I [~j'J- Submittal Date: ~ ~ `J FS <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> V / / / f/ <br /> <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> V ~ ~ / / v <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1~2/3~ <br /> g/5/6/ <br /> 7/~ ~> <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP ~/~ <br />