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• III IIIIIIIIIIIII III • <br />DIVISION OF MINERALS AND GEOLOGY <br />Limited Impact 110 Construction Materials Operation <br />Application Worksheet/Checklist <br />New App: / Amendment App <br />Operator: Sedgwick Count <br />Mine Name: Kinnie Gravel Pit <br />Conversion App: <br />Mine ID: M-97-061 <br />Submittal Date: 7/28/97 <br />APPLICATION FORM (Rule 1.4~ <br />APPLICATION ITEMS COMPLETED <br />------1------- ------ ~ ------ ------ 3 ------ ------ 4 ------ -------~'------- ------ 6 ------ ------~ ------ <br />/ / / / / / / <br />------$ ------ ------ 9 ------ ----- 1 ~ ----- ------11------ ----- ~ ~ ----- ----- ~ 3 ----- -----14------ <br />/ / / / n/a n/a / <br />____Initials____ __ S~nature __ ___ Notices ___ COMMENTS: notice sent to NRCS, not SCD <br />/ / OK <br />EXHIBITS <br />------A------ ------8------ ------C------ ------~------ ------E------ ------F------ ----- -C'------- <br />/ / / / / / / <br />H I J L Geotech Sign Affid. <br />/ / / / OK <br />COMPLETENESS COMMENTS: <br />