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A- <br />I2. Primarv future (Post-mininel land use (check onel: <br />_ Cropland(CR) _ Pasmreland(PL) <br />- Rangeland(RL) _ Forestry(FR) <br />Residential(RS) _ Recreation(RC) <br />Developed Water Resources(WR) <br />13. Primarv aresent land use (check one): <br />Cmpland(CR} _ Pastureland(PL) <br />Rangeland(RL) _ Foresfry(FR) <br />Residential(RS) _ Recreation(RC) <br />- Developed Water Resources (WR) <br />x General Agriculture(GA) <br />_ WiidlifeHabitat(WL) <br />_ IndustriaVConmrcrcial(IC) <br />Solid Waste Disposal(WD) <br />:General Agriculture(GA) <br />Wildlife Hahitat(WL) <br />_ IndusfriaVCommercial(IC) <br />_ Mining (MN) <br />14. 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 suhmit either a 1 l Od or 112d application form for Designated Mining Operafions. 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 />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 />Maus & F,xhibits: <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 EXHIBI"I' B -Site Description <br />6.3.3 EXHIBIT C -Mining Plan <br />6.3.4 EXHIBIT D -Reclamation Plan <br />6.3.5 EXHIBI'C F, -Maps, to include the location oC any recorded easements <br />63.6 EXHIBIT F -List of Other Permits and L icenses Required <br />6.3.7 EXHIBIT G -Source of Legal Right-to-Enter <br />6.3.8 EXIIIBIT 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.G.2(1)(b) ADDENDUM t -Notice Requirements (sample enclosed) <br />6.5 Gcotechnical Stability Exhibit (as required) <br />