2014-04-09_PERMIT FILE - M2014019

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12 -4- Cropland(CR) Pastureland(PL) General Agnculture(GA) Rangeland(RI,) Forestnl(FR) Wildlife Habitat(WL) Residential(RS) _ Recreation(RC) Industnal /Coinmercial(IC) Developed Water Resources(WR) Solid Waste Disposal(WD) 13. Prim resent land use (check one) Cropiand(CR) ® ® EXHIBIT B - Site Description 6.3.3 Pastureland(PL,) 6.3.4 General Agnculture(GA) 6.3. i ✓ Rangeland(RL) 17 Forestn'(FR) ® Wildlife Habitat(WL) 63.7 Residential(RS) ®Recreation(RC) 6.3.8 Industnal /Commercial(IC) 6.3.9 Developed Water Resources (WR) 63.10 Mining (MN) 14 If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use tlus application form. You must submit either a 1 l Od or 112d application form for Designated Mining Operations In either case, you must list am- acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: no acid mine drainage is used or result because of mining operations 15 Description of Amendment or Conversion If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s)- Maps & Exhibits: Submit two (2) complete, unbound copies of the following application exhibits: 6.3.1 EXHIBIT A - Legal Description and Location Map 6.3.2 EXHIBIT B - Site Description 6.3.3 EXHIBIT C - Muting Plan 6.3.4 EXHIBIT D - Reclamation Plan 6.3. i EXHIBIT E - Maps, to include the location of any recorded easements 6.3.6 EXHIBIT F - List of Other Permits and Licenses Required 63.7 EXHIBIT G - Source of Legal Right -to -Enter 6.3.8 EXHIBIT H - Municipalities Within a Two -mile Radius 6.3.9 EXHIBIT I - Proof of Filing with County Clerk 63.10 EXHIBIT J - Proof of Mailing Notices of Permit Application 6.3.12 EXHIBIT L - Permanent Man -Made Structures 1.6.2(I)(b) ADDENDUM 1 - Notice Requirements (sample enclosed) 6.5 Geoteclntical Stability Exhibit (as required)