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-4- <br /> 12. Primary future(Post-mining)land use chec <br /> Cropland(CR) Pasturcland(PL) General Agriculturc(GA) <br /> Rangeland(RL) Forcsin(FR) Wildlife Habilat(WL) <br /> Residential(RS) _ Recreation(RC) 8lndustrial/Commercia!(10 <br /> Developed Water Resources(WR) Solid Waste Disposal(WD) <br /> t Prim; r c n lan I us (check one): <br /> Cropland(CR) Pasturcland(PL) General Agriculture(GA) <br /> Rangeland(RL) Forcstry(FR) Wildlife Habitat(WL) <br /> Residential(RS) Recreation(RC) industriaUComrnercial(IC) <br /> De%eloped Water Resources(WR) I Mining(MN) <br /> 4 if this operation will use designated chemicals,or will result,or presently has acid mine drainage-you cannot use this application <br /> forni. You must submit either a 11 Od or 112d application form for Designated Mining Operations. In either case,you must hM <br /> am acidic or toxic-forming materials,exposed or disturbed as a result of the mining operation,and whether the opemuon w ill <br /> result in or presenth has acid mine drainage, <br /> n/a <br /> 1;. Description of Amendment or Conversion. <br /> If you are amending or com erting an existing operation,provide a brief narrative describing the proposed change(s): <br /> n/a <br /> Mans& Exhibits. <br /> Submit tN\o(2)complete,unbound copies of the following application exhibits <br /> 63.1 EXHIBIT A-Legal Description and Location Map <br /> 6.3.2 EXHIBIT B-Site Description <br /> 63.3 EXHIBIT C-Mining Plan <br /> 6 3 4 EXHIBIT D-Reclamation Plan <br /> 6 3 EXHIBIT E-Maps,to include the location of any recorded casements <br /> 6.3,6 EXHIBIT F-List of Other Permits and Licenses Required <br /> r <br /> " 6.3.7 EXHIBIT G-Source of Legal Right-to-Enter <br /> 63,8 EXHIBIT H-Municipalities Within a Two-mile Radius <br /> 6.3.9 EXHIBIT I-Proof of Filing with County Clerk <br /> o-3.10 EXHIBIT J-Proof of Mailing Notices of Permit Application <br /> 63.12 EXHIBIT L-Permanent Man-Made Structures <br /> i 6 2(1)(b) ADDENDUM I -Notice Requrr'ements(sample enclosed) <br /> 6 ; Gcotcchnical Stability Exhibit(as required) <br /> 4 <br /> S <br /> i <br />