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DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />New App: ~/~ +~ ~IA~mendment App: Conversion App: <br />Operator: Otl,~ i? ~~' II'~ C~~l")~sl"(lA~'. (Y) ~() • Mine ID: ~7f1'J~II$ <br />Mine Name: Uelr,~d~ ~-~' Submittal Date: j2~36L <br />AP?LIGATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6' <br /> / / / / / n~ <br />ZTEMS 7 8 9 10 11 12 <br />COMPLETED <br /> / V ~/ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> v2~~ <br /> 4/ 5~6'~ <br /> / <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: ,/ <br />