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-4- <br />12. Prim iry future (Post-minim land use chec <br />Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />7 Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) Industrial/Commercial(IC) <br />ElDeveloped Water Resources(WR) Solid Waste Disposal(WD) <br />13. frimary resent land use check one): <br />Cropland(CR) ® Pastureland(PL) ® General Agriculture(GA) <br />-7 Rangeland(RL) Forestry(FR) ® Wildlife Habitat(WL) <br />Residential(RS) CRecreation(RC) Industrial/Commercial(IC) <br />Developed Water Resources (WR) Mining W <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - youcannot use this application <br />form. You must submit either a 110d or 112d application formfor Designated Mining Operations. In either case, you rrust list <br />any 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 />N/A <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 />We would like to mine the remainder of the land in the 110 permit. <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 />6.3.2 <br />EXHIBIT B - Site Description <br />6.3.3 <br />EXHIBIT C - Mining Plan <br />6.3.4 <br />EXHIBIT D - Reclamation Plan <br />6.3.5 <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 />6.3.7 <br />EXHIBIT G - Source of Legal Right -to -Enter <br />6.3.8 <br />EXHIBIT H - Municipalities Within a Two -mile Radius <br />6.3.9 <br />EXHIBIT I - Proof of Filing with County Clerk <br />6.3.10 <br />EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 <br />EXHIBIT L - Permanent Man-Made Structures <br />1.6.2(1)(b) <br />ADDENDUM 1 - Notice Requirements (sample enclosed) <br />6.5 <br />Geotechnical Stability Exhibit (as required) <br />