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-4- <br />12. Primary future tPost-mininel land use icheck one): <br />____ Cropland(CR} _ Pasturetand(PL) <br />~, .Rangeland(RL) _ Forestry(FR) <br />~_ Residential(RS) ~ Recreatio22(RC) <br />_ Developed Water Resources(W R) <br />13. Primary present land use (check onel: <br />_ Cropland{CR) ~ Pastureland(PL) <br />Rangela.nd(RL) __ Forestry(FR) <br />_ ResidenYial(RS} ~ Recreation(RC) <br />_ Developed Water Resources (WR} <br />___ General Agriculture(GA) <br />_ Wildlife flabitat(WI.) <br />Industrial•'Commercial(1C) <br />~. Solid VVasbe Disposal(WD) <br />_ General Agriculture{GA) <br />_ Wildlife Habitat(WL) <br />__-__ Industrial~Commercial(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 il»s application <br />form. You must submit either a I lOd or 112d application form. for Designated Mining Qperations. In either case, you must Iist <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 />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s); <br />N~ <br />]Viaps & Exhibits: <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 EXIiIBI'1 C -Mining Plan <br />6.3.4 EXHIBIT D - Reclamation Plan <br />6.3.5 EXI-IIE3IT E - ;Maps, to include the location of any recordod e~asementvs <br />6.3.6 Ea:XFIIBI"r is -List of Qtller Pernrlits anal l:~ieenses Required <br />t`i.3.7 EXHIBIT G -Source of Legal Right-to-Enter <br />6.3.8 EXI~fIIiIT 1"I - M.unieipalities Within a T~vo-mtle RadIUs <br />6.3.9 IsXHllil'1' I - Proof'of filing with County Clerk <br />6.3.10 EXHIBIT J - .Proof of Mailing Notices of Permit Application <br />6.3.12 EXIiIBI'r L -Permanent Man-Made Structures <br />1.6.2(1)(b) ADI]ENDUM I -Notice Requirements (sample enclosed) <br />6.5 Geotechnical S±ability Exhibit (as required) <br />