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r <br />-4- <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this <br />application form. You must submit a either a 110d or 112d application form for Designated Mining Operations. In either <br />case, you must list any acidic or toxic - forming materials, exposed or disturbed as a result of the mining operation, and <br />whether the operation will result in or presently has acid mine drainage: <br />There isn't any known acid mine drainage present, nor are operations anticipating to disturb any materials <br />to cause acid mine drainage. Furthermore, there are no acidic or toxic - forming materials planned to be <br />used during this operation. <br />..i <br />15. Description of Conversion: If you are converting an existing operation, provide a brief narrative describing the proposed <br />change(s): <br />16. Maps & Exhibits:, 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 - Map <br />: <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 />6.5 <br />Geotechnical Stability Exhibit (as required) <br />� <br />k <br />