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3 <br />11. Primary future (Post-toinin¢1 land use (check one): <br />I Cropland (CR) _ Pastureland (PL) General Agriculture (GA) <br />Rangeland (RL) _ Forestry (FR) _ Wildlife Habitat (LVL} <br />I Residential (RS) _ Recreation (RC) ` InduatriaUCommercial (IC) <br />_ 1 Developed Water Resources {WR) Solid Waste Disposal {WD) <br />12. Primary o I ant land ase (check oael: <br />I Cropland (CR) _ Pastureland (PL} _ General Agriculture (GA} <br />1~Rengetaad (RL) _ Forestry (Fit) _ Wildlife Habitat (WL) <br />I Residential (RS) _ Recreation (RC) _ lndustriaUCottmtercial(IC) <br />DevelopedWam esottrces(WR) <br />13. Method ot}Vtinin¢: _ Qttany (QR) `Solution (SO) <br />13. i ~: Briefly explain ~nmg method (e.g. Placer, truck/shovel). <br />I <br />14. On Site P I cessin¢; Solution (SO) Chemical (C:FI) Tltenial (1'H) <br />Heap Leach (EII.) Vat Leach (VL) <br />List any designated i hemicais oracid-producing materials to be used or stored within permit area: <br />Descriotlon o[Am Indment of Conversion: <br />If you are amending) or converting an existing operation, provide a brief narrative descnbiog the proposed change(s): <br />Maps and Ezhibi I: <br />Five (5) rnmplete, I bound appliwtionpackages must be submitted. One complete applicationpackage consists of a signed applicationfotm and <br />the set of maps and exhibits referenced below as Exhibits A-S and the Geotechnical Stability Exhibit Each exhibit within the application must be <br />presented as a sepaiate section. Begin each exld6it on a new page. Pages should be numbered consecutively for ease of reference, If sepazate <br />documents ere use as appendices, Please reference these by ttattnc in the exhibit <br />With each of the file {5) signed application farms, you nntst submit a corresponding set of the maps and exhibits as desrnbed in the following <br />references to Mule 6.4, 6.5, and 1.6.2(1)(6): <br />EXEf1BfCA Legal Description <br />EXHIBITS ]ndexMap <br />EXIIIDIT C Pro-Miaiag and Mining Plao Map(s) of Affected lands <br />EXHIBTCD Miaiag Plan <br />13XFIfBITfi Reclamation Piaa ~ ' <br />EXHffiITI' Reclamaton Plan Map <br />EXBffiIT~G Water lnfvnmtioa <br />EXF{TB1TH WildlifeInfommtion <br />EXHffiITI <br />EXHIBIT~7 Soils htfonnation <br />Vegetation Wvmration <br />E}ifIffiIT~K ~ Clirtuie htfotmation <br />EXHIDIT~L Reclamation Costs <br />F.XIi18[TI M Other Pe~ta and Licenses <br />EXHIDITN Source of Legal Right-To-Enter [See Subparagraph 6.3.7] <br />EXHIBIT] O Owners of Record ofAffected Land (Surface Area) end Owners of Substance to be Mined <br />EXHIBITP Muniripalitiawdvn'IWOMiles <br />F.XFfIDIT Q Proof of Mailing of Notices to County Cot®issioaets and Soil Conservation District <br />Eliti181Tj R Proof of Filing with County Clerk and Reeader <br />E?IHIBTF S Pemtaawt Man-Made Structures <br />RULE l.tf.2(]xb) ADDEND]]M 1 -Notice Requirements (sample enclosed) <br />RULE 6.5 Geotechnical Stability P.xhibit <br />