2017-11-08_REVISION - M1982200 - Laserfiche WebLink

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12. -4- Cropland(CR) Pastureland(PL) General Agriculture(GA) Rangeland(RL) Forestry(FR) ✓ Wildlife Habitat(WL) Residential(RS) _ Reereation(RC) Industrial/Commercial(IC) Developed Water Resources(WR) Solid Waste Disposal (WD) 13. Prim a (check one)- Cropland(CR) ne :Cropland(CR) Pasturciand(PL) General Agriculture(GA) Rangeland(RL) Forestry(FR) ✓ Wildlife Habitat(WL) Residential(RS) Recreation(RC) Industrial/Commercial(IC) LjDeveloped Water Resources (WR) Mining (MN) 14. If this operation will use designated chemicals, or will result, or presently has acid mune drainage -you cannot use this application form. You must submit either a 110d or 11 2d application form for Designated Mining Operations. In either case, you must list any acidic or toxic -forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: NA 15. Descrintion of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): This amendment is to add 5.8 acreslo the -permit area and-tg2 aUpdate the mining and reclamation plans. Ma E hi it : Submit two (2) complete, unbound copies of the following application exhibits: 6.3.1 EXHIBIT A - Legal Description and Location Map 6.3.2 EXHIBIT B - Site Description 6.3.3 EXHIBIT C - Mining Plan 6.3.4 EXHIBIT D - Reclamation Plan 6.3.5 EXHIBIT E - Maps, to include the location of any recorded casements 6.3.6 EXHIBIT F - List of Other Permits and Licenses Required 6.3.7 EXHIBIT G - Source of Legal Right -to -Enter 6.3.8 EXHIBIT H - Municipalities Within a Two-mile Radius 6.3.9 EXHIBIT I - Proof of Filing with County Clerk 6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application 6.3.12 EXHIBIT L - Permanent Man -Made Structures 1.6.2(1)(b) ADDENDUM 1 - Notice Requirements (sample enclosed) 6.5 Geotechnical Stability Exhibit (as required)