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-4- <br /> 12. Primar future Post-minin land use chec <br /> Cropland(CR) Pastureland(PL) � General Agriculture(GA) <br /> Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br /> Residential(RS) _ Recreation(RC) Industrial/Commercial(IC) <br /> � Developed Water Resources(WR) Solid Waste Disposal(WD) <br /> 13. Prim resent land use check one : <br /> Cropland(CR) �Pastureland(PL) � General Agriculture(GA) <br /> �Rangeland(RL) �Forestry(FR) � Wildlife Habitat(WL) <br /> Residential(RS) �Recreation(RC) Industrial/Commercial(IC) <br /> Developed Water Resources(WR) Mining(NIN) <br /> 14. If this operation will use designated chemicals,or will result,or presently has acid mine drainage-you cannot use this application <br /> form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case,you must list <br /> any acidic or toxic-forming materials,exposed or disturbed as a result of the mining operation,and whether the operation will <br /> result in or presently has acid mine drainage: <br /> N/A <br /> I 5. Description of Amendment or Conversion: <br /> If you are amending or converting an existing operation,provide a brief narrative describing the proposed change(s): <br /> N/A <br /> Maps& Exhibits: <br /> Submit two (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 /> 6.33 EXHIBIT C - Mining Plan <br /> 63.4 EXHIBIT D- Reclamation Plan <br /> 6.3.5 EXHIBIT E- Maps,to include the location of any recorded easements <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 EXH[BIT J - Proof of Mailing Notices of Permit Application <br /> 6.3.]? EXHIBI"I�L - Permanent Nlan-Made Structures <br /> 1.6.�'(1)(b) nDDF.NUUNI 1 - Notice Requirements(sample enclosecl) <br /> 5.� (eec,techrii�al Stability l:�hibit(as �eq�_lired� <br />