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RQ-CEl4/ED <br /> lJ C 0 � ?CiG <br /> ice; E._.R <br /> 12. Prima future(Post-mining)land use thec <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 /> FIDeveloped Water Resources(WR) Solid Waste Disposal(WD) <br /> 13. Prim resent land use check one): <br /> X Cropland(CR) ®Pastureland(PL) ® General Agriculture(GA) <br /> ®Rangeland(RL) ®Forestry(FR) ® Wildlife Habitat(WL) <br /> Residential(RS) D 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 acid mine drainage-you cannot use this application <br /> -form. You must submit either a I Itld or I l2d application farm for Designated Mining Operations. In either case,you must list <br /> any acidic or toxic-forming materials,exposed or disturbed as a result ofthe mining operation,and whether the operation will <br /> result in or presently has acid mine drainW..: <br /> N/A <br /> 15. Descriution 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 OMMIT C-Minims Plan <br /> 6.3.4 EXHIBIT D-Reclamation Plan <br /> 6.3.5 EXHIBIT E-Maps,to include the location of any recorded easements <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 <br /> 6.3.8 EXH!Brr FI-Municipalities Within a Two-mile Radius <br /> 6.3.9 EXHIBIT I-Proof of Filing with County Clerk <br /> 6.3.10 EXHIBIT J-Proof of Mailing Notices of Permit Application <br /> 6.3.12 EXHIBIT L-Permanent Klan Made Structttres <br /> 1.62(i)(b) ADDENDUM I-Notice Requirements(sample enclosed) <br /> 6.5 Geotechnical Stability Exhibit(as rcquimd) <br />