2006-10-24_REVISION - M1989023 (2)

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-4- 12. Primary future (Post-mininel land use (check onel: _ Cropland(CR) ~ Pastureland(PL) _ Rangeland(RL) , Forestry(FR) _ Residential(RS) _ Recreation(RC) Developed WaterResources(WR) 13. Primary uresent land use (check one): _ Cropland(CR) ~ Pastureland(PL) _ Rangeland(RL) _ Forestry(FR) _ Residential(RS) , Recreation(RC) _ Developed Water Resources (WR) _ General Agriculture(GA) Wildlife Habitat(WL) _ IndustriaUCornmercial(IC) _ Solid Waste Disposal(WD) _ General Agriculture(GA) Wildlife Habitat(WL) _ IndusiriaUCommercial(IC) Mining (MM 14. Ifthis operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application form You roust submit either a 110d or 112d applicafion form for Designated Mining Operations. In either case, you must list any acidic of toxic-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: 15. Descriotioa of Amendment or Conversion: If you are attrending or converting an existing operation, provide a brief narrative describing the proposed change(s): A ~ t . - _ _ _ I _ _./_. _ _ ~_iL Maas & Eabibits: Submit two (2) complete, unbound copies of the following application exhibits: 6.3.1 E}GIIBIT 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 6.3.9 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(I)(b) ADDENDUM I -Notice Requirements (sample enclosed} 6.5 Geotechnical Stability Exhibit (as required)