Laserfiche WebLink
<br />• • iii iiiiiiiiniii iii <br />999 <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />Application Worksheet/Checklist <br />New App: ~1 Amendment App: Conversion App: <br />Operator: ~I}~~( W~~f)t7aIU Mine ID: m2Q~)n/J~() <br />Mine Name: IAk1~~3,t'll~,lra ~r YP.I Pi f Submittal Date: ~f <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> r/ / / / '~ v <br />ITEMS 7 8 9 10 11 12 <br />COMPLETED <br /> 1/ '~ V / / / <br />ITEMS CONV/AMEND PERMITEE SIG <br />COMPLETED DESCP RESP <br /> 1,/Z'~3/ <br /> 4/5~6/ / 1I~1~ <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 />