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- -: ~ i III IIIIIIIIIIIIIIII • <br />MINED LAND RECLAMATION <br />implication Worksheet/Checklist <br />Regular 112 Application Operator J~p,~j,~~say~ ~r~ClC~ <br />Mine Name TQrr,G.h~„e~rc~.c. F i e"1- No. M= ¢~a3 <br />Complete (~ a Date i i s/4/ <br />Application Form: <br />ITEMS 1 2 3 4 5 6 7 <br />Complete: <br /> <br /> <br />ITEMS <br />Complete: 8 9 10 11 12 13 <br /> / <br />,/ <br />COMPLETENESS/ADEQUACY COMMENTS <br />Maps and Exhibits: <br />EXHIBIT A - Legal Description <br />EXHIBIT B - Index Map <br />EXHIBIT C -Pre-i4ining & Mining Plan Map{s) <br />of Affected Lands <br />EXHIBIT D -i4ining Plan <br />EXHIBIT E - Reclamation Plan ~/ <br />