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DIVISION OE MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Regular (112) Mining Operation <br />Application Worksheet/Checklist <br />New App: _~ Amendment App: <br />Operator : P ~ ~. 'Erie ' W C~ ~ ~-` . <br />Mine Name: (- S <br />Conversion App: <br />Mine ID: /~ - Zoo'~--dS~/ <br />Rec Date:~~/ <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> , / <br />v <br />/ / <br />V , / <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br />ITEMS 13 14 Description Responsibilities Signature <br />COMPLETED of of a <br /> ndment <br />A <br />~ perm <br />i.tt <br />ee <br /> v <br />r <br />/~, ~. ' <br />/ <br />r / <br />V <br />MAPS and EXHIBITS (Rule 6.2) <br />EXHIBIT A - 6.4.1 - LEGAL DESCRIPTION: <br />ADEQUACY COMMENTS <br />EXHIBIT B - 6.4.2 - INDE <br />