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LR5(Rev. 10/16)Mined Land Reclamation ProgramTRANSFER/SALE OF MINE SITE (To be completed by transferring/selling company/county)Please check here if you are a County Transfer Company/County Name License
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The document is related to the transfer or sale of a mine site.
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The purpose of this document is to document and notify relevant authorities about the transfer or sale of a mine site.
Information such as details of the mine site, parties involved in the transfer or sale, and any associated agreements must be reported on this document.
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