2024-01-18_PERMIT FILE - M2023031

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-4- 12. Primar future(Post-mining)land use(check one): Cropland(CR) — Pastureland(PL) El General Agriculture(GA) Rangeland(RL) — Forestry(FR) III Wildlife Habitat(WL) Residential(RS) — Recreation(RC) Industrial/Commercial(IC) ® Developed Water Resources(WR) Solid Waste Disposal(WD) 13. Prim resent land use(check one): Cropland(CR) ®Pastureland(PL) El General Agriculture(GA) ®E Rangeland(RL) l Forestry(FR) f Wildlife Habitat(WL) Residential(RS) 0 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: No designated chemicals nor 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): NA 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 Geotechnical Stability Exhibit(as required)