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<br />-3- <br />11. <br />Primary future (Post-mining) land use (check one): <br />Cropland(CR) ~, Pastureland(PL) _ General Agriculture(GA) <br />_~Rangeland(RL) _ Forestry (FR) <br />_ Residential(RS) _ Recreation (RC) <br />_ Developed Water Resources (WR) <br />12 <br />Primary oresent land use (check one): <br />_ Cropland(CR) <br />Rangeland(RL) <br />_ Wildlife Habitat (WL) <br />Industrial/Commercial(IC) <br />Solid waste Disposal(wD) <br />Pastureland(PL) _ General Agriculture(GA) <br />_ Forestry(FR) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Re creation(RC) _ Industrial/Commercial(IC) <br />_ Developed Water Resources (WR) _ Mining (MN) <br />13. If this operation will use designated chemicals, or will result, or <br />presently has acid mine drainage - you cannot use this application <br />form. You must submit a either a 110d or 112d application form for <br />Designated Mining Operations. In either case, you must list any <br />acidic or toxic-forming materials, exposed or disturbed as a result of <br />the mining operation, and whether the operation will result in or <br />presently has acid mine drainage: <br />f~J~'S/l~+J/9T FQ GNE/I//GAG S /f~,eE T~ i /E~ L~'E.O /~!J TsV/J <br />oPE2~T vet/, <br />Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief <br />narrative describing the proposed change(s). <br />Maps & Exhibits: <br />Submit TWO (2) complete, unbound copies of the following application <br />exhibits: <br />6.3.1 EXHIBIT A - <br />6.3.2 EXHIBIT B - <br />6.3.3 EXHIBIT C - <br />6.3.4 EXHIBIT D - <br />6.3.5 EXHIBIT E - <br />6.3.6 EXHIBIT F - <br />6.3.7 EXHIBIT G - <br />6.3.8 EXHIBIT H - <br />6.3.9 EXHIBIT I - <br />6.3.10 EXHIBIT J - <br />6.1.2(1)(b) ADDENDUM 1 - <br />6.4.19 EXHIBIT S - <br />6.5 Geotechnical <br />Legal Description and Location Map <br />Site Description <br />Mining Plan <br />Reclamation Plan <br />Maps <br />List of Other Permits and Licenses Required <br />Source of Legal Right-to-Enter <br />Municipalities Within a Two-mile Radius <br />Proof of Filing with County Clerk <br />Proof of Mailing Notices of Permit Application <br />Notice Requirements (sample enclosed) <br />(as required) <br />Stability Exhibit (as required) <br />ORIGINAL <br />