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~ iii iiiiiiiiiiiu iii <br />DIVISION OF MINERALS AND GEOLOGY <br />CONSTRUCTION MATERIALS <br />Limited Impact 110 Mining Operation <br />X Application Worksheet/Checklist <br />New App: / Amendment App: Conversion App: <br />Operator: ~-/(,(nur~ COI.w~Ftl ~N~O~' ~b,1)ry~i So/~p~f 5 Mine ID: (1'1 q~i d~3 <br />Mine Name: ~iuYW~ PI- ~I ~~~ Submittal Date: <br />APPLICATION FORM (Rule 1.6.2 and 1.6.3): <br />ITEMS <br />COMPLETED 1 2 3 4 5 6 <br /> f `~ / <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 /> /~ <br /> 4/ $' 6' <br /> 7 <br />8/9/ <br /> ~ <br />MAPS and EXHIBITS (Rule 6.2 & 6.3) <br />ADEQUACY COMMENTS <br />EXHIBIT A - 6.3.1 - LEGAL DESCRTpTION & LOCATION NLAP.~ <br />