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-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 /> No chemicals other than petroleum products will be used, there will be no acid drainage, this <br /> is a zero discharge gravity system for placer gold processing. <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 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 /> 6.3.5 EXHIBIT E-Map <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 EXHIBIT H-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 /> 46.3.12 EXHIBIT L-Permanent Man-Made Structures <br /> 6.4.19 EXHIBIT S-(as required) <br /> 6.5 Geotechnical Stability Exhibit(as required) <br />