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<br />-4- <br />12. Primarv future (Post-mininel land use (check one <br />Cropland(CR) ~ Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) _ IndustriaUCommercial(IC) <br />_ Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />13. Primarv present land use (check onel: <br />Cropland(CR) ~ Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) _ IndustriaVCommercial(IC) <br />Developed Water Resources (WR) _ Mining (MN) <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application <br />form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list <br />any acidic or toxic-fomilng materials, exposed or disturbed as a result of the mining operat ion, and whether the operation will <br />result in or presently has acid mine drainage: <br />N /A <br />15. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describin g the proposed change(s): <br /> <br />Maps & 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 />6.3.5 EXHIBIT E -Maps, to include the location of any recorded easements <br />6.3.6 EXHIBIT F -List of Other Permits and Licenses Required <br />6.3.7 EXHIBIT G -Source of Legal Right-to-Enter <br />6.3.8 EXHIBIT H -Municipalities Within aTwo-mile Radius <br />6.3.9 EXHIBIT I -Proof of Filing with County Clerk <br />6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT L -Permanent Man-Made Structures <br />1.6.2(1)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />