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-4- 12. Primary future (Poet-minin2i laed uae (check omel: Cropland(CR) g Pastwelartd(PL) Rangeland(RL) _ Farestry(FR) Residential(RS) _ Recreation(RC) _ Developed Water Resotuces(WR) 13. Primary oreaent land use (shec oee Cropland(CR) ,~S Pastureland(PL) _ Rangeland(RL) _ Forestry(FR) Residential(RS) _ Recreation(RC} _ Developed Water Resources (WR) _ General Agticulture(GA) __ WildlifeHabitat(WL) _ Industrial/Commercial(IC) Solid Waste Disposal(WD) _ General Agriculture(GA) Wildlife Habitat(WL) IndustriaUCommercia((IC) Mining (MN) 14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application form. You must sutmrit either a I I Od or 112d application form for Designated Mining Operations. In either case, you must list any acidic ortoxic-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: I5. I)escrintioe of Amendment or Converabe; U}'ou are amrnding or converting an existing operatioq provide a brief narrative describing the proposed change(s): Maos & Ezbibits: Submit lwo (2) complete, unbound espies of the following application exhibits: 6.3.1 EXHIBIT 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 t)Llter Permits and Licenses Required 6.3.7 EXHIBIT G - Sowce of Legal Right-to-Enter 6.3.g EXHIBIT H -Municipalities Within a Two-mile Radius 6.3.9 EXHIBIT 1- Proof of Filing with County Clerk 6.3.10 EXHIBIT J -Proof of Mailing Notices of Permit Application 6.3.12 EXHIBIT L - Pernanent Man-Made SWCtwes 1.6.2(l)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) 6.5 Geotechnical Stability Exhibit (as required)