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4- <br />12. Primary future (Post-minim) land use (check one): <br />_ Cropland(CR) _ Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources(WR) <br />13. Prtmarv areseat land use (check one): <br />_ Cropiand(CR) _ Pastureland(PL) <br />Rangelaml(RL) _ Forestry(FR) <br />Residential(RS) _ Recreation(RC) <br />Developed Water Resources (WR) <br />Mining (MAi) <br />l4. If 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 I lOd 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 vain <br />result in or presently has acid mine drainage: <br />~~ <br />15. Description of Amendment or Conversion: <br />[f you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />~~ <br />Maas & Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3.1 EXHIBIT A -Legal Description and Logtion Map <br />6.3.2 EXHIBIT B -Site Descripton <br />6.3.3 EXHIBIT C -Mining Plan <br />G.3.4 EXHIBIT D -Reclamation Plan <br />6.3.5 EXHIBIT E -Maps, to include the location of any recorded easements <br />6.3.G I?XIIIBIT F -List of Other Permits and Licenses Required <br />6.3.7 EXHIBI'C G -Source of Legal Right-to-Enter <br />G.3.8 E:XHIBiT H -Municipalities Within aTwo-mile Radius <br />6.3.9 EXHII3I'f I - Praof 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 />L6.2(i)(b) ADDENDUM 1 -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required) <br />_ General Agiculture(GA) <br />WildlifeHabitat(WL) <br />_ Indusirial/Commercial(IC) <br />_ Solid Waste Disposal(WD) <br />_ General Agriculture(GA) <br />_ WildlifeHabitat(WL) <br />IndushiaVContntereial([C) <br />