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4- 12. Primary future (Post-mining) land use (check onel: Cropland(CR) XX Pasturelacul(PL) Rangeland(RL) _ Forestry(F'R) Residential(RS) _ Recreation(RC) Developed Water Resources(WR) 13. Primary present land use (check one): _ Cropland(CR) XX Pastureland(PL) _ Rangeland(RL) _ Forestry(FR) _ Residential(RS) _ Recreation(RC) _ Developed Water Resources (WR) General Agriculture(GA) _ Wildlife Habitat(WL) _ IndustriaUCommercial(IC) _ Solid Waste Disposal(WD) General Agriculture(GA) _ Wildlife Habitat(WL) _ IndustriaUCommercial(IC) _ Mining (MN) 14. Ifthis 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 110d or 112d application form far Designated Mining Operations. In either case, you must list any acidic ortoxic-forming materials, exposed or disturbed as a result of the mining opemtion, and whether the operation will result in or presently has acid mine drainage: N/A I5. Description ofAmendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): N/A Mans & Exhibits: Subrnit two (2) complete, unbound copies of the following application exhibits: 6.3.1 EXHIBIT A -Legal Description and Location Map 6.3.2 EXHII3IT 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 Pemilts and Licenses Required 6.3.7 EXHIBIT G -Source of Legal Right-to-Enter 6.3.8 EXHIBIT H - Mtmicipalities 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 Structures 1.6.2(1)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) 6.5 Geotechnical Stability Exhibit (as required)