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~: _4- <br />t2. Primary future (Post-mininPl land use (check one <br />_ Cropland(CR) _ Pastureland(PL) `General Agriculture(GA) <br />% Rangeland(RL) _ Forestry(FR) `WildlifeHabitat(WL) <br />Residential(RS) _ Recreation(RC) - IndustriaUCortunercial(IC) <br />f Developed Water Resources(WR) -Solid Waste Disposal(WD) <br />I3. Prirnarv present land use (check one); <br />_ Cropland(CR} ` Pastureland(PL) _ General Agriculture(GA) <br />R Rangeland(RL) _ Forestry(FR) ~ Wildlife Habitat(WL) <br />Residential(RS) ~ Recreation(RC) ~ IndustriaUCommercia](IC} <br />Developed WaterResources(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 1 t Od or t 12d application form for Designated Mining Operations. In either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a resat[ of the ndning operation and whether the operation wilt <br />result in or presently Las acid mine drainage: <br />15. Descriptlon otAmendment or Conversions <br />. If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />Mans & Exhibits: <br />Submit two (2) complete, unbound copies of the following applicarion exhibits: <br />6.3.1 EXHIBIT A -Legal Description and Location Map <br />6.3.2 EXHIBIT B -Site Description <br />(i.3.3 EXHIBIT C -Mining Plan <br />G.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 1 -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 />