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286455 12/13/2017 02:57 PCI B: 943 P: 295 LOC CT <br />Page 5 of 25 R $133.25 D $0.00 T $133.25 Clear Creek <br />11111111110 NAIN MWO40101hIIIll <br />Id. If this operation will use designated chemicals, or %%ill result, or presently has acid mine drainage - you cannot use this <br />application form. You must submit a either a I IOd or 112d application kirm for Designuted 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 %ill result in or presently has acid mine drainage-. <br />15. $18rintlon or Conversigp RE Amendment: It you are Lomcrting or amending an existing operation, provide a brief <br />narrative describing the proposed change(sp <br />0 <br />16. Maga plc EzbIb ty: Submit of the lullo%ing application exhibits: <br />6.3.1 EXHIBIT A - Legal Description and Location Map <br />6.3.2 EXHIBITB - 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 EX141131T H - Municipalities within a Two-mile Radius <br />6.3.9 EXHIBIT I - Proof of Filing with County Clerk <br />6.3.14 LXHIBI I' 3 - Prool'ol' Mailing Notices of Permit Application <br />6.3.12 F;XHIBIT L - Permanent Man -Made Structures <br />6.5 Geotechnical Stability Exhibit (as required) <br />