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I • <br />-4- <br />12. Primary future IPost-mininal land use tcfieck oaet: <br />_ Cropland(CR) _ PastureLwd(PL) <br />g Rangelaad(RL) _ Foreshy(FR) <br />Residentiel(RS) _ Recreation(RC) <br />_ Deve[opedWaterResources(WR) <br />13. Primary aresent land use (cbeck anal: <br />_ Cropland(CR) _ Pasturetand(PL) <br />X Rangeland(RI.) _ Forestry(FR) <br />Residential{RS) _ Recreation(RC) <br />Developed Water Resources (WR) <br />Mining (MN) <br />14, If tfiis operation wilt use designated chemicals, or wi0 result, or presently Itas acid mine drainage -you cannot use this application <br />form. You must submit either a 1 lOd or 112d application form for Designated Mining t.~perations. fn either case, you must list <br />any acidic or toxic-fomting materials, exposed or disturbed as a result of the mining operation, aml whether the operation will <br />result in or presently has acid mine drainage: <br />15. Description of Amendment or Conversion: <br />If you aze amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />I • <br />Mans & Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3.1 EXHIBIT A -Legal Description and Location Map <br />6.3.2 EXHIBIT B -Site Description <br />6.3.3 EXHIBIT C -Mining Plan <br />6.3.4 EXHIBIT D -Reclamation Plan <br />(i.3.5 EXHIBIT E -Maps, to include the location of any recorded easements <br />63.6 EXHIBIT F -List of Other Permits and Licenses Required <br />6.3.7 EXHIBff G -Source of Legal Right-to-Ettter <br />6.3.8 EXHIBIT H - bfunicipatities Within aTwo-mite Radius <br />6.3.9 EXHIBIT I - Proof of Filing with County Clerk <br />63.10 EXHIBIT J - Proof of Malting Notices of Permit Application <br />6.3.12 EXHIBIT L -Permanent Man-Made Structures <br />1.6.2(1)(b) ADDENDUMI-NoticeRequvements(satttpleenclosed) <br />6.5 Geotechnical Stability Exhibii (as required] <br />General Agricultum(GA) <br />_ Wildlife Habint(WL} <br />_ IndustriaVCommercial(tC) <br />Solid Waste Disposal(WD) <br />_ General Agricutaue(GA) <br />_ WildlifeHabitat(R'L) <br />_ InduslriallCommercial(IC) <br /> <br />