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-3- <br />11. Primary future (Post-mining) land use check one <br />_ Cropland (CR) _ Pastureland (PL) <br />_ Rangeland (RL} _ Forestry (FR) <br />_ Residential (RS) _ Recreation (RC) <br />- Developed Water Resources (WR) <br />12. Primarv present land use (check one <br />_ Cropland (CR) _ Pastureland (PL) <br />_ Rangeland (RL) _ Forestry (FTt) <br />_ Residential (RS) _ Recreaflon (RC) <br />- Developed Water Resources (WR) <br />13. Method of Mining: _ Quarry (QR) _ Solution (SO) <br />_ General Agriculture (GA) <br />_ WildlifeHabitat(WL) <br />~, IndustriaUCommercial (IC) <br />Solid Waste Disposal (WD) <br />_ General Agriculture (GA) <br />_ Wildlife Habitat (WL) <br />_~ IndustriaUCommercial (IC) <br />13.1 Other: Briefly explain mining.method (e.g. Placer, [ruck/shovel). Mi n i n ~p n t a n t i c i pa ted- <br />site is >_n final reclamation <br />14. On Site Processing: Solution (SO) Chemical (CH) Thermal (TH) <br />NA Heap Leach (I-IL) Vat Leach (VL) <br />List any designated chemicals or acid-producing materials [o be used or stored within permit azea: <br />Description of Amendment of Conversion: <br />if you aze amending or converting an existing operation, <br />-om a combination of <br />Mans and Exhibits: <br />Change <br />a brief narrative describing the proposed change(s): <br />can Tunnel permit area to industr>-a <br />tr <br />Five (5) complete, unbound applicator pacltages must be submitted. One complete application package consists of a signed applicadon form 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 separate secfion. Begin each exhibit on a new page. Pages should be numbered consecutively for ease of reference. ff separate <br />documents aze used as appendices, please reference these by name in [he exhibit. <br />With each of the five (5) signed application forms, you must submit a corresponding set of the maps and exhibits as described in the following <br />references to Rule 6.4, 6.5, and 1.6.2(1)(6): <br />EXHIBITA Legal Description <br />EXHIBIT B Index Map <br />EXHIDTf C Pre-Mining and Mining Plan Map(s) of Affected Lands <br />EXHIBIT D Mining Plan <br />EXHIBIT E Reclamation Plan <br />EXHIBIT F Reclamation Plan Map <br />EXHIBIT G Water Information <br />EXHIBITH WildlifeInfomtation <br />EXHIBIT I Soils Information <br />EXHIBIT J Vegetation Information <br />EXHIBTLK Climatelnformation <br />EXHB3Tf L Reclamation Costs <br />EXHIBTTM Other Permits and Licenses <br />EXHIBTT N Source of Legal Righ4TaEnter [See Subparagraph 6.3.7] <br />EXHIBIT O Owners of Record of Affected Land (Surface Area) and Owners of Substance to be Mined <br />EXHIBIT P Municipalities Within Two Miles <br />EXHIBIT Q Proof of Mailing of Nofices to County Commissioners and Soil Conservation District <br />EXHIBITR Proof of Filing with County Clerk and Recorder <br />EXHIBITS Permanent Man-Made Structures <br />RULE 1.6.2(1)(6) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />RULE 6.5 Geotechnical Stability Exhibit <br />