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-4- <br />12. Priniarv future (Post-minine) land use (check one): <br />- Cropland(CR) - Pastureland(PL) <br />_ Rangeland(RL) X Forestry(FR) <br />Residential(RS) ___ Recreation(RC) <br />Developed Water Resources(WR) <br />13. Primarv Dresent land use (check one): <br />Cropland(CR) - Pastureland(PL) <br />Rangeland(RL) _X Forestry(FR) <br />_ Residential(RS) Recreation(RC) <br />Developed Water Resources (WR) <br />General Agriculture(GA) <br />Wildlife Habitat(WI..) <br />IndustriaL'Commercial(IC) <br />Solid Waste Disposal(WD) <br />_ General Agriculture(GA) <br />..- Wildlife Habitat(WL) <br />Industriat/Comme'rcial(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 submit either a 110d 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 will <br />result in or presently has acid mine drainage: <br />No acid producing materials are known to be present <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 />Not applicable <br />Maps & 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 EXHIBIT C - Mining Plan <br />63A EXHIBIT D - Reclamation Plan <br />6.3.5 EXHIBIT F - klaps, to include the 'joc;ation of any recorded easements <br />6_16 EXHIBIT 1- - 'List of ()1•er Per its and L.?censc s Requirfed <br />63.7 l: XiIII311 (i - Source of f-egal Right-to-r>nter <br />6.3,8 E.XHIBFF H - Municipalities Within aT«-o-mile Radius <br />6.19 EXHIBIT I - Proof of filing with County Clerk <br />63.10 EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.112 EXHIBIT L - Permanent Man-Made Structures <br />1.6.2(1)(b) ADDFNDUfM I - Notice Requirements (sample enclosed) <br />6.5 (.ieotechnical `.stability Fxhibis (as required)