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-4- <br /> 14 If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this <br /> application form You must submit a either a 110d or 112d application form for Designated 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 will result in or presently has acid mine drainage: <br /> `VA- 0 f'oA c 0r aezi fI'A [r A + ih ;4-, <br /> A-l l W h.�A f� �r� � r-c d e ,.� nsA-�� s + c a*,e t <br /> 15. Description of Conversion: If you are nvertin an existing operation,provide a brief narrative describing the proposed <br /> change(s): <br /> 2 p re surd S "LLS und1Ar- P - ,2 013 -60.� Cgr;er-.26(C-e6 <br /> 4e roL <br /> 16. Mans&Exhibits: Submit two(2)coanDI te.unbound copies of the following application exhibits: <br /> 6.3.1 EXHIBIT A-Legal Description and Location Map <br /> 6.3.2 EXHIBIT B-Site Description <br /> 6.3.3 EXHIBIT C-Mining Plan <br /> 6.3.4 EXHI BIT 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 EXHIBIT H-Municipalities Within a Two-mile Radius <br /> 6.3.9 EXHIBIT I-Proof of Filing with County Clerk <br /> 6.3.10 EXHIBIT J-Proof of Mailing Notices of Permit Application <br /> 6.3.12 EXHIBIT L-Permanent Man-Made Structures-Al A <br /> 6.5 Geotechnical Stability Exhibit(as required) — /� <br />