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-4- <br />12 Prima <br />ry future (Post-mining) land use chec <br />6.31 <br />EXHIBIT B - Site Description <br />6.3.3 <br />EXHIBIT C - Mining Plan <br />6.3.4 <br />EXHIBIT D - Reclamation Plan <br />6.3.i <br />Cropland(CR) Pasture] and(PL) <br />6.3.6 <br />General Agriculture(GA) <br />63.7 <br />✓ Rangeland(RI,) Forestn (FR) <br />6.3.8 <br />Wildlife Habitat(WL) <br />6.39 <br />Residential(RS) , Recreation(RC) <br />Developed WaterResources(WR) <br />6.3.10 <br />Industnal/COmmercial(IC) <br />6.3.12 <br />EXHIBIT L - Pemhanent Man -Made Structures <br />Solid Waste Disposal(WD) <br />ADDENDUM I - Notice Requirements (sample enclosed) <br />i <br />13. Prim <br />resent land use (check one) <br />Cropland(CR) Pasturcland(PL) <br />® <br />General <br />✓ Rangeland(PL) Forestry(FR) <br />® <br />Agriculture(GA) <br />Wildlife Habltat(WL) <br />Residential(RS) �Recreation(RC) <br />Industnal /Conunercial(IC) <br />Developed Water Resources (WR) <br />Minmg (MN) <br />14 If this operation will use designated chemicals, or will result, or presently has acid nine drainage - you cannot use this application <br />form. You must submit either a 1 I Od or I I 2 application form for Designated Minmg Operations In either case, you must list <br />am• acidic or toxic- forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will <br />result in or presently has acid mine drainage: <br />no acid mine drainage is used or result because of mining operations <br />15 Description of Amendment or Conversion <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s) <br />Mans & Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3.1 <br />EXHIBIT A - Legal Description and Location Map <br />6.31 <br />EXHIBIT B - Site Description <br />6.3.3 <br />EXHIBIT C - Mining Plan <br />6.3.4 <br />EXHIBIT D - Reclamation Plan <br />6.3.i <br />EXHIBIT E - Maps, to include the location of any recorded easements <br />6.3.6 <br />EXHIBIT F - List of Other Permits and Licenses Required <br />63.7 <br />EXHIBIT G - Source of Legal Right -to -Enter <br />6.3.8 <br />EXHIBIT H - Municipalities Within a Two -mile Radius <br />6.39 <br />EXHIBIT I - Proof of Filing with Cowmty Clerk <br />6.3.10 <br />EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 <br />EXHIBIT L - Pemhanent Man -Made Structures <br />1.6.2(1)(b) <br />ADDENDUM I - Notice Requirements (sample enclosed) <br />6.5 <br />Geoteclutical Stability Exhibit (as required) <br />