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• <br />12. Primary future (Post-minigel land use (check one <br />-4- <br />_ Cropland(CR) _ Pastureland(PL) <br />}' Rangeland(RL) _ Pores[ry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed WaterResources(WR) <br />13. Primary present land use (check one): <br />_ Cropland(CR) ~ Pastureland(PL) <br />X Rangeland(RL} L Forestry(FR) <br />Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources (WR) <br />General Agriculmre(GAi <br />_ Wildlife Habitat(WL) <br />_ IndustriaUCommercial(IC) <br />Solid WasteUisposal(WD) <br />General Agriculnue(GA) <br />_ Wildlife Habitat(WL} <br />Industrial/Commercial(IC) <br />Mining (MN) <br />l4. I f [his opemtion 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 1104 or 1124 application form for Designated Mining Operations. In either case, you must list <br />any acidic ortoxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the opemtion will <br />result in or presently has acid mine dminage: <br />I5. Description of Amendmegt or Conversion: <br />1f you are amending or converting an existing opemtion, provide a brief narrative describing 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 - Siie Description <br />6.3.3 EXHIBTT 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 a Two-mile Radius <br />6.3.9 EXHIBIT 1-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)(6) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as requited) <br /> <br />