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-4- <br />12. Primary future (Post-minine) land use (check onel: j <br />_ Cropland(CR) _/Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />Rcsidential(RS) _ Recreation(RC) <br />_ Developed WaterResources(WR) <br />13. Primm-v present land use (check one): <br />Cropland(CR) <br />Rangcland(RL) <br />Pasmreland(PL) <br />Fores[ry(FR) <br />General Agricul[ure(GA) <br />_ WildlifeHabitat(WL) <br />_ Indus[rial/Commercial(IC) <br />Solid WasteDisposal(WD) <br />_ General Agriculture(GA) <br />WildlifeHabitat(WL) <br />Rcsidential(RS) _ Recreation(RC) <br />i <br />Developed WaterResources(WR} <br />_ Industrial/Commercial(IC) <br />Mining (MN) <br />14, Ifthisopcrnionwillusedesignatedchemicals,orwillresult,orpresentlyhasacidminedrainage-you cannot use [his application <br />form. You must submit either a 1 l Od or 112d application form for Designated Mining Operations. In either case, you must list <br />any acidi c ortoxic-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 />I5. Description ofAmendment or Conversion: / <br />If you arc amending or converting an existing operation, provide a brief narrative describing [he proposed change(s): <br />Maos & Exhibits: <br />Submit two (Z) canplete, 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 />l .f 2(I)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />65 Geotechnical Stability Exhibit (as required) <br />