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4- 12. Primary future (Post-mining) land use (check one): _ Cropland(CR) _ Pasmreland(PL) / Rangeland(RL) _ Forestry(FR) Residemial(RS) _ Recreation(RC) Developed Water Reso urces(W R) 13. Primary present land use (check one Cropland(CR) _ Pastureland(PL) Rangeland(RL) _ Forestry(FR) Residential(RS) _ Recreation(RC) Developed Water Resources (W R) General Agriculture(GA) WildlifeHabitat(WL) Industrial/Commercial(IC) Solid WasteDisposal(WD) General Agricul[ure(GA) WildlifeHabitat(WL) _ IndustriaVCommercial(IC) Mining (MN) 14. Ifthis opern[ion will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application form. You must submit either a 1 l Od or 112d application form for Designated Mining Operntions. 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: I5. Description of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing [he 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 EXHIBIT 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 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 6.3.4 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 Structures 1.6.2(1 xb) ADDENDUM 1 -Notice Requirements (sample enclosed) 6.5 Geotechnical Stability Exhibit (as required)