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-4- <br />12. Primary future(Post-minin land use chec <br />Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) Industrial/Commercial(IC) <br />® Developed Water Resources(WR) Solid Waste Disposal(WD) <br />13. Prim 1 resent land use check one): <br />Cropland(CR) Pastureland(PL) ® General Agriculture(GA) <br />® Rangeland(RL) Forestry(FR) ® Wildlife Habitat(WL) <br />Residential(RS) Recreation(RC) Industrial/Commercial(IC) <br />Developed Water Resources (WR) Mining (MN) <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application <br />form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must 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 />M 1 tie ojtb /v ACL W ILL 6 C j v 1Z c i, L.- <br />A-,ciis v✓1LG- <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 />Maps & Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3.1 EXHIBIT A -Legal Description and Location Map E 451rv4- <br />6.3.2 EXHIBIT B -Site Description 00 s ilry 4-- <br />6.3.3 EXHIBIT C - Mining Plan <br />6.3.4 EXHIBIT D - Reclamation Plan <br />6.3.5 EXHIBIT E - Maps, to include the location of any recorded easements ", ) nA, L_, <br />6.3.6 EXHIBIT F - List of Other Permits and Licenses Required <br />6.3.7 EXHIBIT G - Source of Legal Right -to -Enter ML - <br />6.3.8 EXHIBIT H -Municipalities Within a Two-mile Radius �)CrSil �'1-- <br />6.3.9 EXHIBIT I -Proof of Filing with County Clerk Y15 -n./4- <br />6.3.10 EXHIBIT J -Proof of Mailing Notices of Permit Application T X ren vL <br />6.3.12 EXHIBIT L - Permanent Man -Made Structures r y qn^,L <br />1.6.2(l)(b) ADDENDUM 1 - Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />