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-4- <br />t2. Primary future {post-miningl land use (check onel: <br />_ Cropland(CR) _ Pastweland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />_ Residemial(RS) _ Recreation(RC) _ IndustriaVCarunercial(IC) <br />_ DevelopedlriaterResources(WR) ~ Solid WasteDisposal(WD) <br />13. Primary. present land uae~6eck onel: <br />Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />R Rnngeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br />Residential(RS) _ Recreation(RC) ~ Indus[riallCotranercial(IC) <br />_ Developed Water Resources (WR) "Mining (MN) <br />14. If this operation will use designated chemicals, or will result, or presently has acid minedrainage -you cannot use this application <br />form You must submit either a 110d or 112d application form for Designated Mining Opetaflons. 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 />Operation will not result in acid mine drainage. No acid or toxic <br />forming materials will be exposed or disturbed as a result of mining. <br />15. Description of Amendment or Conversion: <br />If you aze amending or converting an existing operation, provide a brief narrative describing the proposed changes}: <br />o app ica le. <br />Maas & Ezhibits: <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.d EXHIBIT D - Reclarnation Plan <br />6.3.5 EXHIBIT E -Maps, to include the location of any recorded easements <br />63.6 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 Twwmile Radius <br />6.3.9 EXHIBI"f I - Proof of Filing with County Clerk <br />6.3.1.0 EXHIBIT 1- Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT L -Permanent Man-Made Structures <br />1.6.2(1 xb) ADDENDUM I -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />