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:~ <br />w, <br />New Agp: <br />Operator <br />~~III~I~~'~~II~~'~~ <br />sss <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />Amendment App: ~~ <br />M~~rtu)oS4.r~v~ ~,,,~ P. ~- <br />T <br />Conversion App: <br />Mine ID : M ~~r~ <br />Submittal Date: ~'~ <br />Mine Name <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / <br />J <br />/ <br />/ <br />~/ <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / / / / / <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1~2~3~ <br /> / 4i5/6/ ,/ <br /> 7~8 /9~ <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LF.C:A T, PR.C f'R TAT Tf1N;/ <br />