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. '4- <br />I • 12. Pri>t~rv fatnre (Post-ro~miogl land 11se (check noel: <br />_ Croplatd(CR) _ Pastureland(PL) _ General Agricutdne(GA) <br />_ Rangeland(RL) _ Foresuy(FR} _ WddiifeI3abimt{WL) <br />_ Residential(RS} _ Recreation(RC) _ LrdusttiaUCotmrurcial(IC) <br />_ Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />13. Primary nresmt Ltad Dale (cheek ottel: <br />_ Cropbtod(CR) _ Pasturebtr~(PL) _ General Agricvltute(GA) <br />R Rangebmd(RL) _ Foteshy(FR) _ WHdlife Habitat(WL) <br />_ Residential(RS) _ Recreatia~RC) _ IndustriaVCormnercial(IC) <br />_ Developed Water Resotuces (WR) _ Mining (MN) <br />14. Ifd»s operation willtue designated cbermcals, or will resnlt, orpresently bas acid mirm dtaimge -you cannot use this application <br />form You must submit either a l Itld or 1124 application form for Designated Mining Operatiorrss. 1n eaher case, you rmtst fist <br />any acidic ar toxic-fomurtg materials, exposed or disturbed as a result of the mining operation, and whether the operation will <br />result m or presently has acid mme dra~ge: <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 o[ Aumndment or ConversIoa <br />• If you are amending or convening as existing operation, provide a brief narrative descnbing t}x proposed change(s): <br />o app ica le. <br />Maps & Exhibits; <br />Submit two (2) complete, tmbound copies of the following application exhibits: <br />6.3:1 EXHIBIT A - Legat Description and Location Map <br />6.3.2 EXHIBIT B -Site Description <br />6.3.3 EXHIBIT C -Mining Plan <br />6.3.4 EXHIBTI' D - Recbmtation Plan <br />6.3.5 EXHIBIT E -Maps, to include the location of any recorded easements <br />6.3.6 EXHD3II F -List of Other Petmits and Licenses Reqttired <br />6.3.7 <br />6.3.8 <br />6.3.9 <br />6.3.10 <br />6.3.12 <br />1.6.2(!xb) <br />6.5 <br />EXIi1F31T G - Source of Legal Right-to-Ettter <br />EXHIBIT H - Mtmicipalities Within a Two-trtile Radius <br />EXHIBIT I -Proof of Filing with Coutrty Clerk <br />EXHIBIT' ] - Proof of Mailing Notices of Permit Application <br />EXHI$If L - Pentmna+f Man-Made Structures <br />ADDENDUM 1 -Notice Regttirettnems (sample enclosed) <br />Geotechnical Stability Exhibit (as required) <br />