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4- <br />12. Primarv future (Post-minine) land use (check onel: <br />Cropland(CR) _ Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />_' Residen[ial(RS) _ Recreation(RC) <br />Developed Water Resources(WR) <br />13. Primarv present land use (check one1: <br />_ Cropland(CR) _ Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />Residential(RS) _ Recreation(RC) <br />Developed Water Resources (WR) <br />_ General Agriculture(GA) <br />R Wildlife Habita[(WL) <br />IndustriaVCommercial(IC) <br />_ Solid Waste Disposal(WD) <br />General Agricul[ure(GA) <br />R Wildlife Habitat(WL) <br />IndustriaUCommercial(IC) <br />Mining (MN) <br />14. If this operation will use designated chemicals, or will result, or presently has acid minedrainage -you cannot use [his application <br />form. You must submit either a 11 Od 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 the mining operation, and whether the operation will <br />result in or presently has acid mine drainage: <br />Not applinlible. <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 />Not applicable. <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 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 />1.6.2(1)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />