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a- <br />12. Primarv future (Post-mininai land use (check onel: <br />Cropland(CR) % Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />___ Residen[ial(RS) ___ Recreatiott(RC) <br />Developed Water Resources(WR) <br />t3. Primarv present land use (check onel: <br />_ Cropland(CR) X Pastmeland(PL) <br />_~ Rangeland(RL) _ Porestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources (WR) <br />_,._ General Agriculture(GA) <br />WildlifeHabitat(WL) <br />_ IndustriaUConutxrcial(IC) <br />_, Solid Waste Disposal(WD) <br />_ General Agriculture(GA) <br />Wildlife Habitat(WL) <br />_ IndustriallComrttercial(IC) <br />_ Mining (MN) <br />l 4. [f 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 1104 or 112d application form for Designated Mining Operations. In either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a result of [he mining operation, and whether the operation will <br />result m or presently has acid mine drainage: <br />N/A <br />15. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />N/A <br />Maus & 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 EXFiIBI'f C -Mining Plan <br />63.4 EXHIBIT D -Reclamation Plan <br />6.3.5 EXI IIBIT E -Maps, to incEude the lo<:ation of any recorded easemcttts <br />63.6 EXHIBIT F -List of (hher Permits and Licenses Required <br />63.7 F.XHIBff G -Source of Lega] Right-to-Enter <br />63.$ EXHIBIT FI -Municipalities Within a Two-nrile Radius <br />63.9 EXHIBCP I - Proof of Filing with County Clerk <br />63.10 EXFIIB['f J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXtiIBPi' L -Permanent Man-Made Structures <br />1.6.2(1)(6) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />