PERMFILE48218 - Laserfiche WebLink

Home Browse Search

RE~EO~E~ APR i 8 T006 -4- 12. Primary future (Post-mininel land use (check one _ Cropland(CR) _ Pastureland(PL) R Rangeland(RL) _ Forestry(FR) Residential(RS) _ Recreation(RC) Developed WaterResources(WR) 13. Primary present land use (check onel: _ Cropland(CR) _ Pasmreland(PL) X Rangeland(RL) _ Forestry(FR) Residential(RS) _ Recreation(RC) Developed Water Resources (WR) Drvisiun of Minerals and Geology _ General Agriculture(GA) Wildlife Habitat(WL) _ IndustriaUCommercial(IC) Solid Waste Disposal(WD) General Agriculmre(GA) _ WildlifeHabitat(WL) IndustriaUCommercial(IC) _ Mining (MN) 14. Ifthis 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 ortoxic-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: NA 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 Moos & 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 Platt 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 63.7 EXHIBIT G -Source of Legal Right-to-Enter 6.3.8 EXHIBIT H -Municipalities Within aTwo-mile Radius 6.3.9 EXHIBIT I -Proof of Filing with County Clerk 6.3.] 0 EXHIBIT J -Proof of Mailing Notices of Permit Application 6.3.12 EXHIBIT L -Permanent Man-Made Structures 1.6.2(1)(b) ADDENDUM I -Notice Requirements (sample enclosed) 6.5 Geotechnical Stability Exhibit (as required)