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.; <br />• iii iiiiiiiiniu iii <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: ~ Amendment App: Conversion App: <br />Operator: I~ ~ ~ l~G~-~ ~" COI,U-~ ~ ~n Mine ID:)" ~ ~ ~ OlA 0 <br />Mine Name: Oof'gPk~ ~i ~ Submittal Date: 7 /~ ~!~ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> x x ~ X X ~ <br />ITEMS <br />COMPLETED 7 8 9 10 11 12 <br /> X X X x ~ ~ <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> l,i Z 3/ <br /> 4/ 5~ 6 / / <br /> 7/ 8 /9 / <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRIPTION & LOCATION MAP <br />