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;:n :A<, : <br />{ <br />Permit Id <br />11 -Q00 <br />Load Out On Site <br />Load Out Off Site <br />Critical Wildlife Habitat <br />Geologic Hazards <br />Monitoring Program Required <br />Control Plan Required <br />Protected Water Sources <br />Protected Renewable Resources <br />Structures within 200 ft_ <br />Fertilizer Required <br />Y N <br />ef Cm <br />• er <br />• o <br />11 • Z 0 <br />O 6 <br />Site N ame <br />Maximum Reclaimed Slope <br />r a-r-3 54 , Co <br />Amended Plant Growth <br />R erregetation Test Plot <br />Acid or Toxic Materials <br />Toxic Materials Revegation <br />Steep Slope Variance <br />Critical Structures <br />Instream <br />Heap Leach <br />M illing Present <br />Other Chemical <br />Y N U <br />O ( <br />o <br />0 (2r ® <br />cs) <br />0 ef r•D <br />O i <br />O 0 ® <br />O '® <br />O or <br />O o ® <br />r4\ <br />