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-4- <br />12. Yrims~ry future (7'oat mining) land tree [t h, onel: <br />_ Croplar~d(CR) ~ Pasturelend(PL) <br />_, Resider~tial(1tS) ____ Recreation(RC) <br />~. Develo)xd Water Resources(WR) <br />13. Primary Aresent land use lcbeck onel: <br />Cropland{CR) _,_, Pastureland(PL) <br />_ Rangela~nd(RL} „_ Farestry(FR) <br />r Residen~tial(RS} _ Recreatio~n{R~C) <br />_ Dcvelolfed Water Resoutres (WR) <br />General Agriculture(GA) <br />,~ Wildlife Habitat(WL) <br />_,_,_ IndustriaUComruercial{IC} <br />Solid Waste Disposal{WD) <br />General Agriculture(GA) <br />_ Wildlife 13abitat(WL) <br />IndustriaUCormnercial(IC) <br />_ Mining (MN} <br />14. If this operation will use designated chemicals, or will result; Orly bas acid mane drainage - }riou cannot use this application <br />form You must sulbmit either a 1 l tM or 112d application form for Designa~ad Mining Operatiious. In either case, you ~t list <br />any acidic or toxic-inrming mattrials, exposed or dis-urbtd as a result of the mining operation, and whether the operation will <br />result in ~ presently has acid mine drsamge: <br />/ y /~ <br />15. Description of Ambndment or Conversion: <br />if you are amending, or converting an existing opera~ion, pmvido a brief narrative deseribirtg the proposed change(s): <br />Mips & Exblbits- <br />Submit two (2) comple~:e, unbound copies of the following application exhibits: <br />6.3.1 EXHIBIT A -Legal Description and Location Map <br />6.3.2 E:XH7BIT I3 -Site Description <br />6.3.3 E:KHIBIT C -Mining Plan <br />6.3.4 E;iCHIHIT D -Reclamation Plan <br />6.3.5 E:KHIBIT E -Maps, to include the location of any recorded easements <br />6.3.6 E:KHIBIT F - List of Other Permits and Licenses Required <br />6.3.7 ~ E:KHIBIT G - Source of Legal Right-to-Enter <br />6.3,8 E:KHIBIT H -Municipalities Within aTwo-mile Radius <br />6.3.9 E:KHIBIT I -Proof of Filing with County Clerk <br />6.3.10 E7KHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 E:~CHIBIT L -Permanent Mart-Made Strictures <br />1.6.2(1)(b) A]3DBIVDUM 1 -Notice Requirements (sample enclosed) <br />6.S Ge;atechnical Stability Exhibit (as required) <br />