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4- <br />12. Primary future (Post-mininel land use (check onel: <br />_ Cropland(CR) _ Pastureland(PL) <br />_ Rangeland(RL) _ Forestry(FR) <br />Residential(RS) _ Recmation(RC) <br />_ Developed Water Resources(WR) <br />13. Primary present land use (check one): <br />Cropland(CR) _ Pasmreland(PL) <br />Rangeland(RL} _ Forestry(FR) <br />Residential(RS) ~ Recreation(RC) <br />_ Developed Wa[er Resources (WR) <br />_ General Agiculture(GA) <br />_ Wildlife Habitat(WL) <br />[ndustriaVCommercial(IC) <br />Solid Waste Disposal(WD) <br />_ General Agriculture(GA) <br />_ Wildlife IIabitat(WL) <br />l~ IndustziaVCotmnercia](IC) <br />Mining {MN) <br />l4. If this operation wil! use designated chemicals, or will result, orpresently has acid mine drainage- you cannot use this application <br />form. You must submit either a I l (M or 1 i2d application fomt for Designated Mining Operafions, in either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will <br />result in or presently has acid mine drainage: <br />~Jn r P,~Mitr~~S Will h~ UsPr~1 <br />15. ~escriotion of Amondment or Conversion: <br />[f you are amending or converting an existing operation, provide a brief ttartative describing tfie proposed changes}: <br />Maos & 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 F. -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 EXHIII['f I -Proof of Filing with County Clerk <br />63.10 EXHIBIT J - Proof of Mailing Notices of Permtt Application <br />6.3.12 EXHIBIT L -Permanent Man .'t'fade Structures <br />1.6,2(1 }(b) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />