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-4 12. Primary future !Post-minina) land use (check one): _ Cropland(CR) ~ Pastureland(PL) _ Rangeland(RL) _ Forestry(FTt) Residential(RS) _ Recreation(RC) _ Developed Water Resources(V/R) 13. Primary present land use !check one): _ Cropland(CR) ~ Pastureland(PL) - Rangeland(RL) _ Forestry(FR) _ Residential(RS) _ Recreation(RC) ,_ Developed Water Resources (WR) _ General Agticulture(GA) WildlifeHabitat(WL) _ IndustriaUCommercial(IC) Solid WasteDisposal(WD) _ General Agriculture(GA) Wildlife Habitat(WL) _ IndustriaVCommereial(IC) - Ong (MM 14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you caffiot use this application form. You must submit either a 1104 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 inor presently has acid mine drainage: NR 15. Descriotiou of Amendment or Conversion: If you are amending or convecting an existing operation, provide a brief narrative describing the proposed change(s): ~~ 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 EXHBIT 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 a~ recorded easements 6.3.6 EXHIBIT F - List of Other Permits and Licenses Required .. - ounce o g - o- 6.3.8 EXHIBIT H -Municipalities Within aTwo-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 Struchtres 1.6.2(1)(6) ADDENDUM 1 -Notice Requirements (sample enclosed) 6.5 Geotechnical Stability Exhibit (as required)