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DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist/ <br />New App: / Amendment App: Conversion App: <br />Operator: weatem Mobile southern, Inc. / Mi.ne ID: M-2002-009' <br />Mine Name: Beeman Pit #i/ Rec Date: 02/OS/2002/ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> / / / / / / <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> / / / / / / <br />ITEMS 13 14 Description Responsibilities Signature <br />COMPLETED of Amendment of a zmproperiy <br /> permittee notarized <br /> / / / DD <br />nee~ewe ~ <br /> y/zU~fJ2. <br />MAPS and EXHIBITS (Rule 6.2) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: / <br />EXHIBIT B - 6.4.2 - INDEX MAP: / <br />