2020-03-02_PERMIT FILE - M2020017

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-4- 12. Primary future Post-minin land use chec Cropland(CR) ZF Pastureland(PL) General Agriculture(GA) Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) Residential(RS) _ Recreation(RC) Industrial/Commercial(IC) ® Developed Water Resources(WR) Solid Waste Disposal(WD) 13. Pr1m&ry Rrcsent land use(check one): Cropland(CR) Pastureland(PL) F� General Agriculture(GA) 17Rangeland(RL) Forestry(FR) ® WildlifeHabitat(WL) Residential(RS) F Recreation(RC) Industrial/Commercial(IC) Developed Water Resources(WR) Mining(MN) 14. If this operation will use designated chemicals,or will result,or presently has acid mine drainage-you cannot use this application form. You must submit either a 110d or 112d 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: 15. Description of Amendment or Conversion: If you are amending or converting an existing operation,provide a brief narrative describing the proposed change(s): Maps &Exhibits: 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 easements 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 Geotechnieal Stability Exhibit(as required)