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-4- <br />12. Primary_ future (Post-mining) 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 />33. Primary present land use (check one): <br />_ Cropland(CR) _ Pastureland(.PL) <br />X Rangeland(RL) ~ Forestry(FR) <br />Residential(RS} _ Recreation(RC) <br />V Generat Agriculture(GA) <br />_ Wildlife Habitat(WL} <br />,_ Industrial/Commerciai(IC} <br />_ Solid Waste Disposal{WD) <br />General Agriculture(GA) <br />_ Wildlife I3abitat(WL) <br />IndustriaUCommercial(IC} <br />i Developed Water Resources (WR) _ 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 submit either a 11 Ud 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 />None <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 />Maps & kxhibits: <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 EXHIBIT C -Mining Plan <br />6.3.4 EXHIBIT D -Reclamation Plan <br />6.3.5 EXHIBIT E -Maps, to include the location of any recorded easements <br />6.3.6 EXHIBIT F -List of Other Permits and Licenses Required <br />6.3.7 EXHIBIT G -Source of .Legal Right-to-Enter <br />6.3.8 EXHIBIT H -Municipalities Within aTwo-mile Radius <br />6.3.9 EXHIBI"f I - Proof of Filing with County Clerk <br />6.3. IQ EXHIBIT J - Proof of Mailing Notices of Permit Applieaiion <br />6.3.12 EXHIBIT L -Permanent Man-'vlade Structures <br />1.6.2(1 }(b) ADDENDUM 1 -Notice Requirements (sample enclosed} <br />6.5 Geotechnical Stability Exhibit (as required) <br />