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-4- 12. Primary future (Post-minioel land use (check Duel: _ Cropland(CR) _ Pastureland(PL) ~Rangelaad(RL) T Forestry(FR} _ Aesidential(RS) _ Recreation(RC) Developed Water Resources(WR) 13. Primarv present laud usefcheck one): Cropland{CR) _ Pastureland(PL) ~Rangeland(RL) _ Forestry(FR) Residemtal(1[S) _ Recreation(RC} Developed Water Resources (WR) General Agriculture(GA) _ W"ildlife Habitat(WL) _ IndnstriaL'Commerciat(iC) Sotid Waste Disposal(WD) General Agriculture(GA) WildlifeNabitat(WL) _ IndustriaUCotmnercial(IC) _ Minmg(MN) 14. If this operation will use designated chertdcaks, or will result, or presemly has acid mine draimge - you cavnot use this application form. You must submit either a t I Od or t 12d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-fomting materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: >,I~~ l5. Ilescriotion of Amendment or Conversion: If you are``amending or converting an existing operation, provide a brief oatrative descnbing the proposed change(s): ~~4 Maps & Ezhibits: Submit two (2) complete, tmbotmd copies of the following application exhibits: 6.3. I EXHIBIT A -Legal Description and Location Map 6.3.2 EXHIBIT' B -Site Description 6.3.3 EXHIBIT C - Minirtg Plan 6.3.4 EXHIBIT D -Reclamation Plan G.3.5 EXHIBIT F, -Maps, to include the location of any recorded easements 6.3.6 EXHIBIT F -List of Other Permits and Licenses Required 6.3.7 EXHB3fC G -Source of Legal Right-to-Enter G.3.8 EXHIBIT H -Municipalities Within a Two-mile Radius 6.3.9 EXHIBIT I - Proof of Filing with County Clerk 6.3.10 EXH [BIT 1- Proof of Mailing Notices of Permit Application 6.3.12 EXHIBIT L -Permanent Man-Made Structures 1.6.2(I)(b) ADDF,NDUM 1 -Notice Rcquiremenu (sample enclosed) G.5 Geoteehnical Stability Exhibit (as required)