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11, PrJmarLUr~ost-mIninPJ 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. Primary areseet land use (check one): <br />Cropland (CR) _ Pastureland (PL) <br />X Rangeland {RL) _ Forestry {FR) <br />_ Residential (RS) ^ Recreafion (RC) <br />Developed Water Resources (WR) <br />13. Method of Mintne: ,Quarry (QR) _ Soluioa (SO) <br />General Agricuhnue (GA) <br />_ Wildlife Habitat (WL) <br />_ IndustriaVCommercia] (IC) <br />Solid Waste Disposal (WD) <br />GeneralAgriculnue(GA) <br />_ Wildlife Habitat (WL) <br />_ IadustriaVCornmercial (IC) <br />13.1 Other: Briefly explain miningtnethod(e.g.Placer,tmck/shovel). Unde~~r,tin~, /~'S r~-Fnr-Firw <br />14. On Site Processine: Solution (SO) Chemical (CH) Themtal (TH) <br />Heap Leach (FII.) Yat Leach NL) <br />List any designated chemicals oracid-producing materials to be used or stored within permit azea: Q i / - werfp ~- sear a'f-i 611 <br />Dcscriotion oCAmendment of Conversion: <br />If you aze amending or converting an existing operation, provide a brief aarraive descnbing the proposed change(s): J.eas ~ <br />.5¢.C f3fl-achm2vtf A <br />Mans and Eahlbits: <br />Five (5) complete, unbound applicationpackages tttustbe submitted. One complete applicationpackage consists afa signed applicationfo~mand <br />the set ofmaps and exhibits referenced below as Exhibits A-S and dre Geotechnical Stability Exhibit Each exhubit within Uie application must be <br />presented as a separate section Hegin each exhibit on a new page. Pages shotid be numbered consecutively for ease of reference. If separate <br />documents are used as appendices, please reference these byname in the exhibit <br />With each of the five (5) signed application forms, you must submit a corresponding set of the maps and exhibits as desenbed in the following <br />references to Rule 6.4, 6.5, and 1.6.2(1)(b): <br />EXHIBTTA Legal Description <br />EXHIBITB Index Map <br />EXHIBIT C Pre-Mining and Mining Plan Map(s) of Affected Lands <br />EXHIBITD Mining Plan <br />EXHIBIT E Reclamadon Plan <br />EXHIBIT F Reclamaton Plan Map <br />EXHIBTT G Water infomration <br />EXHIBITH Wildlifehd'orrnation <br />FJffIIBITI SoilsInformtion <br />BXHIBIT J Vegetation infom~ation <br />EXHIBITK ~ Climatelnforrnation <br />EXHIBTT L Reclamation Costs <br />E7tHIBiT M Oahu Pamirs and Licenses <br />EXHIBIT N Source of Legal Right-To-Enter [See Subparagraph 6.3.7] <br />EXHIBIT O Owners of Record of Affected Land (Surface Area) end Owners of Substance to be Mined <br />EXHIBIT P Municipalities Witlin 7WO Miles <br />EXHIBIT Q Praof of Mailing of Notices to County Commissioners and Soil Conservation District <br />F.XHII31T R Proof of Filing with County Clerk and Recorder <br />EXHIBITS Permurent Man-Made Structures <br />RULE 1.6.2(1)(6) ADDENDLR.tI-Notice Requvemeats (sample enclosed) <br />RULE 6.5 Geotechnical Stability Exhibit <br />