Laserfiche WebLink
-4- <br /> 12. Prima future ost-minim land use chec <br /> Cropland(CR) X 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 resent land use check one): <br /> X Cropland(CR) ®Pastareland(PL) ® General Agriculture(GA) <br /> ®Rangeland(RL) ®Forestry(FR) ® Wildlife Habitat(WL) <br /> Residential(RS) f7 Recreation(RC) Industrial/Commercial(IC) <br /> Developed Water Resources(WR) Mining(MN) <br /> 14. If this operation will use designated chemicals,orwill result,or presently has acidmine drainage-you cannot use this application <br /> -form. You must submit either a I I0d or 1I2d appkation form far Designated Mining Operations. In either case,you must list <br /> any acidic or toxic-forming materials,exposed or disturbed as a result ofthe raining 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 /> N/A <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 <br /> 6.3.2 EXHIBIT B-Site Description <br /> 6.3.3 EXHIBIT C-Mining Plan <br /> 6.3.4 EXHIBIT D-Reclamation Plan <br /> 6.15 EXHIBIT E-Maps,to include the location of any recorded easements <br /> 6.3.6 EXHIBIT F-List of Other Perils and.Licenses Required <br /> 6.3.7 EXHIBIT G-Source of Legal Right-to-Enter <br /> 6.3.8 EMM1T H-Municipalities Within a Two-mile Radius <br /> 6.3.9 EXHI$IT I-Proof ofFiling with County Clerk <br /> 6.3.10 EXHIBIT S-Proof of Mailing Notices of Permit Application <br /> 6.3.12 EXHIBIT L-Permanent Man-Made Structures <br /> 1.62(l)(b) ADDENDUM I-Notice Requirements(sample enclosed) <br /> r 6.5 Geot echnical Stability Exhibit(as required) <br />