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-4- 12. Primarv future (Post-mininal land use (check onel: _ Croptand(CR) _ Pasturelarzd(PL) x Rangeland(RL) _ Forestry(FR) _ Residential(RS) _ Recreation(RC) Developed Water Resources(WR) 13. Primarv aresent land use (check onet; _ Cropland(CR) Y Pastureland(PL) ~ Rangeland(RL) _ Forestry(F'R) Residential(RS) ~ Recreation(AC) Developed Water Resources (WR) _ General Agriculture(GA) _ Wildlife Habitat{WL.) _ IndustriallCommercial([C) _ Solid Waste Disposal(WD) _ General Agriculture(GA) WildlifeHabitat(WL) IndustriaUCommercial(IC) _ 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 I l Od or i 12d application form for Designated Mining Operations. to 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: 15. Description of Amendment or Conversion: [f you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): Maus & 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 EXHIBI"f B -Site Description 6.3.3 EXHIBIT C -Mining Plan 6.3.4 EXHIB[T 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 aTwo-mile Radius 6.3.9 EXH1BfF I -Proof of Filing with County Clerk 6.3.10 EXIiIBIT 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)